ffy final 2015 state strategic plan

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM

FOR

WOMEN, INFANTS AND CHILDREN (WIC)

FFY FINAL 2015

STATE STRATEGIC PLAN

DUNS #806418075

NEW JERSEY DEPARTMENT OF HEALTH

PUBLIC HEALTH SERVICES BRANCH

FAMILY HEALTH SERVICES

WIC SERVICES

50 EAST STATE STREET

6th

FLOOR

PO BOX 364

TRENTON, NEW JERSEY 08625-0364

(609) 292-9560

2015 New Jersey WIC USDA Grant Duns #806418075

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2015 STATE PLAN SUMMARY

TABLE OF CONTENTS

Page

1.0 EXECUTIVE SUMMARY ................................................................................... 1-1

1.1 Federal Overview ............................................................................................. 1-1

1.2 State Overview ................................................................................................. 1-4

1.3 Local Agency Overview ................................................................................... 1-5

1.4 New Jersey WIC Advisory Council Overview ................................................ 1-6

1.5 Division of Family Health Services’ Mission Statement ................................. 1-7

1.6 New Jersey WIC Services’ Mission Statement ................................................ 1-8

1.7 New Jersey WIC Services’ Goal ...................................................................... 1-9

1.8 New Jersey WIC Services’ 2015 Objectives .................................................. 1-10

2.0 ORGANIZATIONAL STRUCTURE OF NEW JERSEY WIC SERVICES

2.1 State Operations ............................................................................................... 2-1

2.2 Local Agency Operations ............................................................................... 2-16

2.3 New Jersey Advocacy Operations .................................................................. 2-17

3.0 FINANCIAL MANAGEMENT ........................................................................... 3-1

3.1 Federal Funding Process .................................................................................. 3-1

3.2 State Funding Process ...................................................................................... 3-5

3.3 Vendor Analysis ............................................................................................... 3-8

4.0 POPULATION ANALYSIS ................................................................................. 4-1

4.1 New Jersey WIC Services Affirmative Action Plan Statistical Methodology . 4-1

4.2 Estimated Eligible WIC Participants Methodology for FFY 2015 ................ 4-21

4.3 Disclaimers and Notes for FFY 2015 WIC Affirmative Action Plan ............ 4-30

4.4 New Jersey WIC Services FY 2015 Health Data ........................................... 4-31

4.5 New Jersey WIC Services FY 2015 Breastfeeding Data ............................... 4-35


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5.0 MILESTONES-SIGNIFICANT INITIATIVES FOR FFY 2014 .................. 5-1

5.1 Office of the Director ....................................................................................... 5-1

5.2 Health and Ancillary Services .......................................................................... 5-2

5.3 Food Delivery and Vendor Management ......................................................... 5-5

5.4 WIC Management Information Systems .......................................................... 5-6

5.5 Monitoring and Evaluation .............................................................................. 5-8

6.0 STRATEGIES ........................................................................................................ 6-1

6.1 Client Services through Technology and Collaboration of Services ................ 6-1

6.2 Quality Nutrition Services ............................................................................... 6-2

6.3 Vendor Cost Containment ................................................................................ 6-5

6.4 Program Integrity ............................................................................................. 6-6

7.0 APPENDICES ........................................................................................................ 7-1

7.1 Organization Charts ......................................................................................... 7-1

8.0 WIC CLINIC SITES by COUNTY ....................................................................... 8-1

8.1 WIC Clinic Sites by County ............................................................................. 8-1


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1.0 EXECUTIVE SUMMARY

1.1 Federal Overview

The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) was

established in 1972 as a pilot project following a national survey that found anemia and inadequate

growth to be common among American children in low-income families. In 1974, WIC was

established as a discretionary program, available throughout the United States. WIC is a preventive

public health nutrition program that provides nutrition and breastfeeding education, nutritious foods,

and improved access to regular health care and social services to low and moderate-income pregnant,

postpartum and breastfeeding women and young children with, or at risk of developing nutrition

related health problems. To address the identified and implement the mandates of the legislation,

WIC:

Provides a WIC food package that is in line with the 2005 Dietary Guidelines for Americans

and current infant feeding practice guidelines of the American Academy of Pediatrics to:

better promote and support the establishment of successful long-term breastfeeding; provide

WIC participants with a wider variety of food; provide WIC State agencies with greater

flexibility in prescribing food packages to accommodate participants with cultural food

preferences; and, serve all participants with certain medical provisions under one food

package to facilitate efficient management of participants with special dietary needs.

Issues food vouchers containing supplemental foods with essential nutrients found to be

deficient or lacking in their diets. The food vouchers are redeemable at approved retail stores

in New Jersey.

Provides health and nutrition screenings for early identification or treatment of existing risk

factors that contribute to poor growth rates in infants and children, poor pregnancy outcomes

and poor health and nutrition status.

Conducts nutrition/health counseling designed to improve their dietary habits and eliminate

or reduce risk factors. The counseling is provided in both individual and peer/group-

sessions.

Promotes adoption of healthy lifestyles for prevention of diseases, improved birth outcomes

and pediatric growth through nutrition education.

Refers program participants to needed health care, social and other community services for

health protection.


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Promotes and supports exclusive breastfeeding.

Through integration of programs (National Fruit and Vegetable Program, Farmers’ Market

Nutrition Program and the Office of Nutrition and Fitness (ONF)) reduces barriers and

strengthens the abilities of program participants to adopt lifelong dietary practices for health

promotion.

Provides nutrition education tailored to participants’ risk factors and interests.

Numerous research findings show that WIC contributes to improved health and nutritional status of

pregnant women, postpartum and breastfeeding women in low socioeconomic status, infants and

children. Also, studies conducted by United States Department of Agriculture (USDA) Food and

Nutrition Services (FNS), other non-government entities (Mathematica) and University of Medicine

and Dentistry of New Jersey show that WIC is a cost-effective nutrition intervention program. The

following summarizes some of the findings that support the effectiveness of WIC Services:

Improved Birth Outcomes and Savings in Health Care Costs

National and statewide studies that have evaluated the cost-benefit of WIC prenatal participation

have consistently shown that dollars invested in WIC significantly contributed to savings in medical

care costs for infants. Prenatal WIC participation also contributes to improved birth weight,

gestational age and infant mortality. (ref. # 1 – 6)

Increased Consumption of Key Nutrients/Increased Nutrient Density of Diet

A healthy diet is associated with a positive health status and can reduce the risk for several chronic

diseases, including obesity, heart disease, type 2 diabetes, and come cancers. Consuming a healthy

diet during early childhood contributes to adequate growth and development. Studies have shown

that WIC children have higher increased intakes of iron, potassium, and fiber. Also participation in

WIC dramatically improves Healthy Eating Index scores for the household. (ref # 7 - 8)

WIC reduces obstacles that low-income population encounter in adopting healthy diets. Such

obstacles include lack of knowledge and access to nutritious foods. Apart from the vouchers

containing the supplemental foods, the WIC program implements the Farmers’ Market Nutrition

Program (FMNP) that increases access to a locally grown fresh fruits and vegetables combined. The

Farmers Market Nutrition Program also incorporates nutrition education that strengthens the abilities

of program participants to adopt lifelong dietary practices necessary to prevent the onset of chronic

diseases. Through the New Jersey WIC FMNP, WIC educates the program participants about the


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relationship of nutrition to chronic disease prevention, promotes consumption of locally grown

produce and contributes to increases in revenues for participating New Jersey farmers. In 2012, 231

New Jersey farmers served as vendors for the FMNP and redeemed vouchers worth over $0.5 million

dollars.

Increased Breastfeeding Rates

WIC helps mothers to choose to breastfeed their infants and provides the support and information

they need to continue breastfeeding. The WIC Participant and Program Characteristics reports show

that among infants 6-13 months old at the time of the study, breastfeeding initiation rates increased

every year from 55.5% in 2006 to 63.6% in 2012. (ref. #9).

CONCLUSION: WIC is a multi-component, comprehensive, effective, cost-saving intervention

public health nutrition program designed to address the specific health and nutrition needs of at risk

pregnant, postpartum, and breastfeeding women, and infants and children of low socioeconomic

status.

REFERENCES:

1. Khanani, I., Elam, J., Hearn, R., Jones, C., & Maseru, N. (2010). The impact of prenatal WIC participation on

infant mortality and racial disparities. American Journal of Public Health, 100(S1), S402-S209.

2. Avruch, S., & Cackley, A.P. (1995). Savings achieved by giving WIC benefits to women prenatally. Public

Health Report, 110, 27-34.

3. Kowaleski-Jones, L., & Duncan, G.J. (2002). Effects of participation in the WIC Program on birthweight:

Evidence from the National Longitudinal Survey of Youth. American Journal of Public Health, 92(5). 799-804.

4. Abrams, B. (1993) Preventing Low Birth Weight: Does WIC Work? Annals of NY Academy of Sciences 678,

306-318.

5. Breckenridge, M and Gregory, P.M (1998) The Impact of WIC on Selected Pregnancy Outcomes. New Jersey

Department of Health Report.

6. Davaney, B., Bilheimer, L., and Schore, J. (1991) The Savings in Medicaid Costs for Newborns and their

Mothers from Prenatal Participation in the WIC Program. Princeton Mathematica Policy Research Inc.

7. Yen, S. (2010). The effects of SNAP and WIC Programs on nutrient intakes of children. Food Policy, 35(6), 576-583.

8. Basiotis, P.P., Kramer-LeBlanc, C.S., & Kennedy, E.T. Maintaining nutrition security and diet quality: The role

of the Food Stamp Program and WIC. Family Economics and Nutrition Review, 11(1,2), 4 – 16.

9. WIC participant and program characteristics 2010 Report. Retrieved January 5, 20212 from

http://www.fns.usda.gov/wic/resources/


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1.2 State Overview

The New Jersey Department of Health (NJDOH) was one of the first ten State agencies in the nation

to administer the WIC Program. The Department currently provides WIC services to the entire State

of New Jersey through health service grants awarded to seventeen local agencies and two Maternal

and Child Health Consortia. Nine agencies are local/county health departments, two are hospitals,

one is an educational institution, and five agencies are private/nonprofit organizations. The Maternal

and Child Health Consortia provide breastfeeding education and support services for WIC

participants in their service areas. As the Department moves forward with initiatives for a healthier

New Jersey, WIC Services will play a key role to assure better health and improved nutritional status

of low-income women, infants and young children.

It is the goal of New Jersey WIC Services to utilize varied strategies to reduce the risk of poor

pregnancy outcomes, facilitate the improvement of nutritional status by identifying and providing

services to prevent nutritional problems/challenges that impact on the nutritional and health status of

low income pregnant, postpartum, breastfeeding women, infants and children participating in

New Jersey WIC program. In 2013, New Jersey WIC Services through the local WIC agencies

served 290,150 pregnant, postpartum, breastfeeding women, infants and children up to age five who

have low incomes, medical and/or nutrition risk factors. The ethnic distribution of the WIC Program

participants was 50.68% Hispanic/Latino and 46.79% Non-Hispanic/Latino. Race distribution of

New Jersey WIC participants: 2.59% American Indians and Alaska Native; 3.14% Asian; 25.32%

African American; 1.37% Native Hawaiians or Pacific Islander, 65.01% White; and 2.53% Other.

According to data from the 2011 Electronic Birth Certificate, 24.4% of all New Jersey live births

were by WIC mothers.


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1.3 Local Agency Overview

Local WIC agencies in New Jersey serve as a gateway to primary preventive health care for many of

the State’s vulnerable pregnant, postpartum and breastfeeding women, infants and children. New

Jersey WIC Services provides a unique opportunity through which program participants receive

access to primary preventive health care and referrals to human services programs. The State and

local WIC agencies continue to work collaboratively to ensure a participant focused delivery system

through the promotion and expansion of one-stop service and integration of services at conveniently

located facilities.

The local WIC agencies establish accessible WIC clinic site locations throughout their service area in

collaboration with health related organizations, community and non-profit organizations, and county

and local municipalities. The local agencies employ over 400 staff to certify the WIC participants

using the WIC ACCESS computer system on state owned computers. WIC services must be

provided by approved nutrition professionals and nurses and support staff. Local agencies provide

extended hours for working participants.

One-sixth of the services offered to WIC participants must be in nutrition education. Local agency

staff utilizes a variety of materials to encourage healthy eating habits.


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1.4 New Jersey WIC Advisory Council Overview

The purpose of the WIC Advisory Council is to bring together representatives from statewide

organizations and constituencies that have an interest in the nutritional status of mothers and children

by performing the following functions:

Contribute to the promotion of the New Jersey WIC Services;

Provide support and make recommendations to New Jersey WIC Services for the operation of an

effective program;

Act as a clearinghouse for the exchange of ideas and information; and

Provide an articulate voice for consumers in areas affecting WIC, nutrition and health.

The responsibility of the Council is to collaborate with and advise the New Jersey Department of

Health through the Director of WIC Services in the delivery of quality services to WIC clients. The

areas include: Targeting, Caseload Management, Outreach, Coordination of WIC with other

community health services, Vendor Operations, Nutrition Policy, Program Planning, and Budgetary

Management.

The New Jersey WIC Advisory Council is comprised of member representatives from numerous

providers and advocacy areas, such as: Maternal Health, Pediatric Health, Nutrition, Vendors,

Participant Representative (Urban), Participant Representative (Rural), the WIC Forum

(President/Designee), a Local Agency Representative, a Health Officer, MCH Regional Consortia,

WIC Advocates, New Jersey Hospital Alliance, Division of Medical Assistance, New Jersey State

Assembly, New Jersey State Senate, and Managed Care.


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1.5 The Division of Family Health Services’ Mission Statement:

To improve the health, safety, and well-being of families and communities in New Jersey.

1.5.1 Organizational Structure

Organizational charts for WIC Services are contained in Appendix 7.1 and show the functional

organization of each of the Service unit program areas. WIC Services is organizationally located

within the Division of Family Health Services (FHS). Gloria Rodriguez is the Assistant

Commissioner for the Division of Family Health Services.


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1.6 New Jersey WIC Services’ Mission Statement:

To safeguard the health of low-income women, infants, and children up to age five (5) who are at

nutritional risk by providing nutritious foods to supplement diet, information on healthy eating,

breastfeeding promotion and support and referrals to health care agencies.


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1.7 New Jersey WIC Services’ Goals

To enhance the quality of life for women, infants and children through a client centered service

delivery system.

To improve the nutritional status of all low-income persons eligible to receive supplemental foods,

nutrition education and accessibility to health care and other social services; and to ensure the

integrity of program operations and maximize the use of funds appropriated by the United States

Department of Agriculture (USDA).

The New Jersey WIC Services Strategic priority sections are addressed in 6.0 Strategies. The

Strategies are: Client Services through Technology and Collaboration of Services, Value Enhanced

Nutrition Assessment (VENA), Breastfeeding Exclusivity, Physical Activity in Conjunction with

Nutrition Education, Vendor Cost Containment, and Program Integrity.


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1.8 New Jersey WIC Services 2015 Objectives

Objectives

To improve client services through technology and collaboration of services;

To provide participant centered services through Value Enhanced Nutrition Assessment

(VENA), improved process, content and staff skill, and the use of enhanced nutrition

assessment tools;

To promote, support and protect exclusive breastfeeding for the first six months of life and

continued breastfeeding with the addition of appropriate complimentary foods for the rest of

the first year and thereafter as long as mutually desired by mother and child;

To implement the Final WIC Food Package Rules by offering 1 % Low fat and Nonfat milk

as the standard in food packages IV-VII.

To conduct the Loving Support©

Through Peer Counseling Breastfeeding Program;

To promote regular physical activity in conjunction with nutrition education to aid in the

prevention of overweight and obesity in WIC participants and caregivers of WIC

participants.

To continue complying with the Vendor Cost Containment rule; and

To continue monitoring program integrity through local agency program operation

monitoring and evaluations, vendor compliance buys, MIS ad hoc reporting, and program

data analysis and evaluations.

To replace the existing electronic data processing system that employs a distributed model

with a new consolidated web based system.


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2.0 ORGANIZATIONAL STRUCTURE OF NEW JERSEY

WIC SERVICES

2.1 State Operations

2.1.1 Office of the Director

2.1.1.1 Administrative Section

The Office of the Director administers and manages all operations, including the four service

delivery units and the 11 USDA functional areas, of New Jersey WIC Services. The four service

units are Health and Ancillary Services, Monitoring and Evaluation, Food Delivery and WIC

Information Technology. The 11 functional areas identified by USDA are detailed in the WIC

Federal Regulations 7 CFR, Part 246. The 11 functional areas are Vendor Management, Nutrition

Services, Information Systems, Organization and Management, Administrative Expenditures, Food

Funds Management, Caseload Management, Certification, Eligibility and Coordination, Food

Delivery/Food Instrument Accountability and Control, Monitoring and Audits and Civil Rights.

The Office of the Director is responsible for the State Plan, monitoring the budget, monitoring and

reporting on annual Operational Adjustment and Infrastructure Funding, Civil Rights, USDA State

Technical Assistance Reviews (STAR), fiscal reviews of grantees, all state and federal management

evaluations and audits , internal controls, efficiency and effectiveness or program operations and

responding to all inquiries, complaints or issues from participants, the public, legislators, interest

groups, and state and federal agencies.

The administrative tasks include:

1) Performing payroll activities for 36 employees in New Jersey WIC Services;

2) Completing and coordinating the preparation of all personnel actions for New Jersey WIC

Services;

3) Providing administrative direction to program staff concerning interpretation of policies and

procedures; and

4) Other administrative functions as deemed necessary to ensure the efficiency and effectiveness of

program operations.


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2.1.2 Health & Ancillary Services (H&AS) Unit

2.1.2.1 Health & Ancillary Services

State WIC nutrition and breastfeeding staff in the Health and Ancillary Services Unit develops

policies and procedures and provides technical assistance in nine of the eleven functional areas of the

WIC program. The Health and Ancillary Services staff are responsible for nutrition education, the

cornerstone of the WIC program; the oversight of breastfeeding promotion and support services;

immunization screening; monitoring of local agencies to ensure that they fully perform their WIC

regulatory responsibilities; the certification process; food package tailoring; nutrition surveillance;

and coordination of services with health and social service agencies.

Staff conducts trainings and provides support to local agencies on health and nutrition topics

including: pediatric and prenatal nutrition advances, nutrition techniques, breastfeeding, customer

service, income screening, blood work screening, anthropometrics (weighing and measuring) and

program regulations. These trainings are eligible for continuing education credits from the American

Academy of Nutrition and Dietetics and other relevant credentialing organizations. Staff reviews

State and local agency program data and Nutrition Services reports to evaluate the characteristics of

the certified population, e.g., level of education, nutritional risk factors, breastfeeding rates and

formula usage.

2.1.2.2 Nutrition Education

Health and Ancillary Services assures through time studies that 1/6th of New Jersey's Nutrition

Services Administrative funds are spent on Nutrition Education and that two nutrition education

contacts per certification period are provided and documented for all WIC participants, including the

high risk.

In addition to the Nutrition Education Plan, Health and Ancillary Services reviews, purchases,

creates and distributes nutrition education materials for local WIC agencies and translates materials

into Spanish and other languages as needed. Nutrition education is provided to individuals and

groups, and whenever possible, is based on the individual interests and health needs of the

participant.


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The three major goals of WIC nutrition education are to:

Highlight the relationship between proper nutrition and good health with special emphasis on the

nutritional needs of pregnant, postpartum, and breastfeeding women, infants, and children under

five years of age;

Assist the individual who is at nutritional risk to achieve a positive behavior change resulting in

improved nutritional status and prevention of nutrition related problems through optimal use of

the supplemental foods and other nutritious foods; and

Provide nutrition education in the context of the ethnic, cultural, and geographic preferences of

the participants and with consideration for educational and environmental limitations experienced

by the participants.

The Health and Ancillary Services Unit, with local agency input, develops a Statewide Nutrition

Education Plan that incorporates the goals of Value Enhanced Nutrition Assessment (VENA) by

improving nutrition and health assessment for the purposes of directing client centered nutrition

education and services.

Local agencies may adopt this plan, make modifications, or develop an individual plan based on an

assessment of the nutritional problems of the participants in their service area subject to the review

and approval of the State WIC Agency.

In November 2012, Altarum Institute provided a one day introduction to a WIC Services Toolkit.

This toolkit is the result of the collaboration between Altarum Institute and the States of Delaware,

Maryland, New Jersey, and West Virginia, with funding provided by the Mid-Atlantic Region of the

USDA and Food and Nutrition Services. In January 2013, States received 17 WIC Services Toolkit

DVDs for distribution to the local agencies. The Toolkit topic areas include: Communication Skills

Part 1, Communication Skills Part 2, Strategies for Group Education, Facilities and Use of Space,

Service Delivery, Understanding Your WIC Customers and Guide for WIC Mentors. The Toolkit

allows local agencies the ability to provide interactive trainings at their location to meet the needs of

their staff. WIC Agencies are required to provide customer service training annually using this

Toolkit.

New Jersey WIC continues to add nutrition education modules to NJWIConline.org. This year, a

Breastfeeding module and Being Active module were added. WIC participants can select from eight

modules and 32 activities for their secondary education contact.


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2.1.2.3 Breastfeeding Promotion and Support

The State WIC office oversees all breastfeeding promotion and support services provided for WIC

participants by the local agencies and two Maternal and Child Health consortia by monitoring,

reviewing, and evaluating the services provided. The State is responsible for technical assistance and

training; responding to requests for information from the public and organizations both within and

outside of State government; developing policies and procedures based on Federal regulations and

guidelines from the National WIC Association; coordinating with private and public health care

systems and other organizations and programs to promote and support breastfeeding; contributing to

the Nutrition Education Plan; tracking and compiling the breastfeeding rates and trends; and

purchasing breast pumps.

2.1.2.4 WIC Food Packages

The Health and Ancillary Services Unit identifies and provides local agencies with a list of the foods

that are acceptable for issuance to program participants; at least one item from each food group in the

WIC food package prescription must be available. The unit monitors local agencies to assure that

supplemental foods are made available in the quantity and form necessary to satisfy the individual

nutritional needs and cultural preferences of each participant, taking into consideration the

participant's age and dietary needs. The authorized WIC foods are limited to those that are allowed

by Federal Regulations and which satisfies New Jersey’s food selection criteria. New Jersey WIC

Services considers availability, cost, packaging, labeling, nutrient content, sugar, sodium and iron

content, adulteration, additives/substances, participant preferences, and variety of each food before

including it on the WIC approved food list, and distribution to local WIC agencies.

2.1.2.5 Certification/Eligibility Determination

Participation in the WIC program is limited to pregnant, postpartum and breastfeeding women,

infants, and children up to the age of five years from low-income families who are determined to be

at nutritional risk by a competent professional authority (CPA). Health and Ancillary Services

oversees the eligibility process (income screening, residency, identity, adjunctive eligibility,

nutritional assessment, and risk determination).

2.1.2.6 Access to Health Care

The WIC Program serves as an adjunct to primary preventive health care during critical times of fetal

development, and the growth and development of infants and children. This component of the WIC


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Program functions to prevent the occurrence of health problems and to improve the health status of

these vulnerable populations.

Local WIC agencies refer participants to healthcare and, as appropriate, to substance abuse

counseling and ensure access at no cost or at a reduced cost. During certification, information is

given to participant regarding the type of healthcare services available, where free immunizations can

be obtained, how to obtain services, and why these services should be used. Standardized New Jersey

WIC referral forms are used by all local agencies to collect screening and healthcare referral data.

Federally Qualified Health Centers and prenatal health clinic uses the WIC referral form to facilitate

the enrollment of eligible pregnant women in each program and reduce the duplication of services.

Pregnant women who are presumptively eligible for Medicaid are adjunctively eligible for WIC. The

health and nutrition information provided by Federally Qualified Health Centers and prenatal clinic

staff on the referral form facilitates the WIC certification process and this coordination will continue

during FFY 2015.

The State and local agencies in New Jersey work in cooperation with healthcare and social service

providers, SNAP, Medicaid, New Jersey FamilyCare, federally funded community health centers,

county welfare agencies, Head Start, HealthStart, child health conferences in local health

departments, private physicians, and managed care providers. The co-location of WIC with other

services increases the WIC eligible population’s utilization of both services.

Health and Ancillary Services Unit staff works collaboratively with local agencies to ensure a

participant-focused delivery system through the promotion and expansion of one-stop service and co-

location of services at conveniently located facilities. New Jersey WIC Services has 112 clinic sites

of which 48 are co-located with other health and/or human services programs. Health and Ancillary

Services staff monitors and approves the opening and closing of WIC clinic sites. Innovative

initiatives to improve access, provide services, and increase efficiency have been integrated to

improve both the health and nutritional status of the "at risk" WIC population.

These initiatives include the following:

Co-location with preventive and primary healthcare; (Newark WIC Program)

Utilization of two mobile WIC clinics to provide increased access to services in underserved

areas (Tri-County and North Hudson WIC Programs);


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Provision of immunization education and referral to children's medical homes or health

departments;

Provision of breastfeeding promotion and support services through WIC local agencies and

regional Maternal and Child Health Consortia;

Coordination with the New Jersey Chapter of the American Academy of Pediatrics to increase

immunization rates;

Hematological testing of WIC participants without referral data from healthcare providers;

Coordination with Health Maintenance Organizations;

Co-location or referral linkages to Federally Qualified Health Centers;

Initiatives to promote awareness of increased fruit and vegetable consumption; and

Coordination with Medicaid to improve Early Periodic Screening Diagnosis Treatment rates.

2.1.2.7 Outreach and Coordination Network

New Jersey WIC Services and local WIC agencies annually publicize the availability of WIC

Program benefits, including eligibility criteria and the location of local agencies operating the

program, through offices and organizations that deal with significant numbers of potentially WIC-

eligible people. These health and social service organizations and offices are part of the WIC

outreach coordination network. Health and Ancillary Services and local agencies work closely with

these groups to assure their understanding of WIC and to promote referrals across programs. State

and local WIC agencies develop an annual targeting plan to promote WIC awareness, enhance access

to WIC services, ensure continuity of WIC services, and coordinate WIC operations with other

services or programs that benefit WIC participants. New Jersey WIC advertised on movie screens

throughout New Jersey, in FFY 2012.

2.1.2.8 Voter Registration

New Jersey WIC Services provides voter registration services at all WIC clinic sites in compliance

with the National Voter Registration Act of 1993. WIC applicants and participants are asked via a

voter registration opportunity form that is available at all clinics if they are eligible to vote and would

like to register to vote, assistance is available for completing these forms. New Jersey WIC Services

coordinates with the Department of Law and Public Safety, Division of Elections, in submitting the

quarterly reports from all New Jersey WIC agencies obtaining voter registration forms and provides

relevant information to local WIC agencies on voter registration. Voter registration coordinators at

local agencies train local staff and State staff are available for technical assistance.


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2.1.2.9 MARWIC TIMES Newsletter

Since 1995, New Jersey WIC Services has produced the MARWIC Times newsletter for the United

States Department of Agriculture (USDA) Mid Atlantic Region. This quarterly newsletter captures

regional USDA news and the news and activities of the nine WIC states in the region: New Jersey,

Pennsylvania, Delaware, Maryland, Virginia, West Virginia, the District of Columbia, Puerto Rico

and the Virgin Islands. The newsletter was sent to all the WIC directors, nutritionists and

breastfeeding coordinators nationally, all the USDA regional offices, and USDA headquarters. The

MARWIC Times is supported by an annual grant to New Jersey WIC from the USDA Mid-Atlantic

Regional Office. The Newsletter is available on WIC Works.


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2.1.3 Monitoring and Evaluation Services

The Monitoring and Evaluation Services Unit (M&E) ensures the appropriate management,

utilization of administrative, and food funds by local grantees.

WIC Nutrition Services Administration (NSA) funds are stringently monitored before, during, and

after grants are awarded and when funds are expended. The M&E Unit determines an initial NSA

grant amount for grantees consistent with the WIC Federal regulations for the distribution of funds

through the fiscal budget process. The Department of Health Financial Services mandates and

enforces State and Federal requirements for contracting with local grantees through the Notice of

Grant Availability, Spending Plan and the Health Service Grant (HSG) process. USDA dictates

specific WIC provisions.

The M&E Unit incorporates all requirements into the annual grant application packet and provides an

information session to all interested applicants in March 2014. Staff reviews the grant applications

for compliance with both program and fiscal requirements and prepare them for departmental review,

approval and award. Staff monitors the grants through the expenditure process and sends a report of

expenditures to the USDA monthly. If additional funds become available during the fiscal year, the

M&E Unit determines the distribution of funds to local grantees and notifies the agencies to prepare

a budget modification. Staff review and process grant modifications the same as initial grant

applications. The M&E Unit determines the initial and reallocation of USDA funds for food costs to

local grantees. Staff prepare, maintain, and monitor monthly State and local agency spreadsheets for

projected and actual food dollar expenditures.

Another area of critical program monitoring is caseload management. Staff charts, updates monthly,

and monitors program enrollment and participation data to ensure between 97 and 100 percent

expenditure of funds without overspending the grant award. Staff distributes a packet of caseload

management charts and policy directives to local agency coordinators monthly. Staff frequently

discusses with local agency sponsors and coordinators the issues affecting caseload and food dollar

expenditures and specific corrective actions needed. Caseload is an agenda topic for each of the bi-

monthly administrative meeting with local agency coordinators. Staff also communicates with local

grantees via conference calls and special meetings as needed.


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The M&E Unit coordinates the Infant Formula Rebate contract and monthly billing to obtain rebate

funds as part of the USDA Federal regulations requirement for infant formula rebate cost

containment. Staff charts, monitors, and reports the infant formula rebate dollars to USDA monthly.

The unit prepares an invoice and submits it to the infant formula contract vendor by the 15th of each

month. The rebate dollars are deposited in the bank by the 15th business day of the month and are

used for reduction of food expenditures. The unit is responsible for preparing the infant formula

rebate Request for Proposal (RFP) in accordance with State purchasing requirements and USDA

Federal regulations.

The M&E Unit prepares and issues the Affirmative Action Plan for NJ WIC Services. This plan

analyzes health data for the New Jersey WIC eligible population by municipality and county. The

unit utilizes the data to develop intervention strategies to improve services to the WIC eligible

population.

Another function of the M&E Unit is the preparation of the USDA WIC State Plan Application. Unit

staff collects and incorporate all the information relative to management and monitoring of NSA

funds and food dollars. In addition, the data on the WIC eligible population is calculated to determine

the areas of most need in the State. This information is critical for obtaining approval by USDA for

the fiscal year grant award.


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2.1.4 Food Delivery Services

The Food Delivery Services Unit (FD) has the primary responsibility to ensure the accountability,

payment and reconciliation of 100 percent of all WIC checks distributed, printed, issued, voided,

redeemed or rejected. The 17 local agencies have 32 administrative (permanent, fixed) service sites

and 79 satellite clinics throughout the state that provide direct benefits to approximately 290,150

women, infants, and children annually. Benefits are delivered through the issuance of checks for

specific foods. Checks are cashed at vendors (retail grocery stores) under contract with WIC. WIC

Services presently issues over 8,160,000 checks per year and these checks have a value of more than

$138 million per year. The FD Unit oversees the operations of all local WIC agencies and their

service sites with particular emphasis on check reconciliation and payment. Food Delivery also

monitors more than 951 contracted WIC grocery stores (vendors) to ensure compliance with the

Vendor Agreement and program integrity.

All new vendors participating in the program for six (6) months must submit their quarterly New

Jersey Division of Taxation Sales and Use Tax forms (ST 50 forms or monthly UZ forms) to ensure

that the vendors annual WIC food sales are not above-50-percent of their annual food sales. Vendors

that are above-50-percent shall be disqualified from the program.

Ensuring compliance is accomplished through a variety of activities including: review of local WIC

agencies Program operations; comprehensive review of vendor operations; management and review

of the banking contract and procedures for processing checks; and analysis of computer reports from

WIC’s Automated Client Centered Electronic Services System (ACCESS) and Solutran, our banking

contractor.

The local WIC agency review is a comprehensive assessment of the agency’s total operations that

focuses on compliance with regulations regarding the check issuance process, service delivery,

customer service, orientation and training for new participants, and one-to-one reconciliation of all

checks. The process includes extensive computer report analysis, onsite visits to sites statewide,

development and provision of technical assistance and training to local WIC agency staff, and

corrective action plans for bringing an agency into compliance.

Food Delivery personnel oversee the local WIC agency onsite process for WIC Services. The process

includes developing the biennial schedule, sending out questionnaires, letters and reports to local


2-11

grantee sponsors and coordinators, and tracking and filing all documents. The onsite review process

incorporates 11 Functional Areas that are defined by USDA for the WIC Supplemental Nutrition

Program. The methods used by staff include on-site visits, completion of questionnaires by local

grantees and State staff, desk reviews of grantee-submitted documents, on-line analysis of electronic

data, and desk reviews of electronic reports.

Vendor management activities include collecting, processing, maintaining the paperwork, files and

computer database necessary to manage contracted vendors; developing and providing training

seminars statewide; conducting extensive computer report analysis; performing onsite monitoring of

vendors statewide; collecting and analyzing commodity prices throughout the state; and conducting

both training and covert compliance buys.

Food Delivery unit personnel review daily monthly bank reports and have the ability to electronically

access and review images of all checks the bank has processed for the past eight years. Staff can also

electronically access account information for all New Jersey WIC’s bank accounts for up-to-date

activity.

Food Delivery personnel develop ad hoc computer reports to identify, analyze and use as a tool to

change and/or develop policies that will have a positive impact on service delivery for WIC

participants. They develop and write comprehensive reports on local agency or vendor operations;

evaluate annual grant applications and grant modifications; and develop and provide technical

training seminars for vendors.

Food Delivery personnel oversee the ordering, printing and distribution of various program materials,

including all check stock used for WIC participant ID folders, plastic sleeves for the ID folders,

participant Rights and Obligations Forms, Household & Income Information Forms, participant fact

sheets, WIC Verified Stamps, vendor food lists, vendor store signs, vendor stamps, and all forms

related to the vendor application process.

Food Delivery personnel co-chair the Food List Committee along with the Health and Ancillary

Services Unit. This group evaluates all items chosen for inclusion on the list of WIC approved foods.

Food Delivery personnel bring their knowledge of statewide availability of items, variations in

pricing at vendors across the state, and participant preferences.


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Food Delivery personnel oversee the Special Infant Formula purchase system, whereby at-risk

infants received medical infant formula shipped either to their homes or to their local WIC Agency.

The State has a vendor agreement with a formula warehouse company in Lancaster, PA, for the

purchase and shipment of special formula. This system has been in place for several years and has

provided a much-needed service to WIC’s neediest population.

Food Delivery personnel are responsible for the semiannual exchange of participant information with

the Commonwealth of Pennsylvania. Date files are compared to discern whether any of New Jersey’s

WIC participants are enrolled in the Pennsylvania WIC Program dually. Through the efforts of

WIC’s computer system contractor, CMA, this data exchange has been enhanced and improved.

Food Delivery personnel are crossed trained to perform Food Delivery Unit and Vendor Management

Unit functions. The cross training is enhancing the skills and knowledge of the staff, which is needed

to maximize productivity.


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2.1.5 WIC Information Technology

The WIC Information Technology (IT) Unit is responsible for all data and technology functions for

New Jersey WIC Services. IT is responsible for three areas of program concern in support of WIC’s

Automated Client Centered Electronic Service System (WIC ACCESS): Operations,

Maintenance/Project Management, Field Support and Quality Assurance. In addition to the WIC

ACCESS system, the IT Unit supports the computers and associated computing equipment such as

printers and scanners used by State WIC staff for program management and operations. The WIC IT

unit also administers and is responsible for the Vendor database and application for monitoring and

reporting. The IT Unit is responsible the implementation of a technologically current application to

replace WIC ACCESS.

2.1.5.1 Operations and Maintenance/Project Management of WIC ACCESS

All automated data processing operations and development is provided and supported by WIC's

application service provider (ASP) according to specifications developed by New Jersey WIC

Services. A critical role of the IT Unit is to coordinate, monitor and manage current ASP operations

and identify issues to improve the efficiency of WIC ACCESS. Areas included in these efforts are

monitoring of help desk operations, software “bug” identification, enhancements, application

implementation, resource management and liaison for the State and local agencies to the ASP.

The IT Unit provides the necessary evaluation tools and training in use of the Local Agency Service

Site Module, System Administration Module, and Central Administrative Module needed by State

and local agency management and staff to monitor enrollment participation, food instrument cost,

caseload management, food funds issuance, funds reconciliation and Local Agency staff member

management. IT Unit also audits local agencies for compliance with Federal regulations that are

considered IT in nature.

IT is responsible for identifying emerging technologies that will enhance cost-effective service

delivery to WIC participants and improve information management. There are a number of initiatives

currently under development that are directly related to implementation of new technologies or the

utilization of current technologies in a different solution that will improve the operating efficiency of

WIC ACCESS.


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The IT Unit, working with other State Office Units, manages the modification of WIC ACCESS to

meet the changing requirements of the WIC program. The IT Unit provides business requirements

definition support for modifications to the WIC ACCESS application. These modifications are

predominately in response to new or modified USDA requirements, in support of normal updates or

new WIC initiatives, or to improve efficiency of operations. WIC ACCESS provides automated

support for all aspects of WIC and must continuously evolve as WIC evolves.

2.1.5.2 Quality Assurance

The WIC Information Technology Unit utilizes internal resources to test any modifications to the

WIC ACCESS application, including regression testing to assure that the modifications do not affect

existing functionality. Formal test scripts are developed by Quality Assurance staff to fully exercise

each change in the new build and to assure that the entire application continues to operate properly

with the inclusion of the changes. Tests are run in a standalone Test Lab using copies of selected

Local Agency systems and databases. After testing is complete in controlled conditions, pilot testing

is conducted at two local agency administrative sites before any new modification is implemented

statewide. The pilot test period is closely monitored by Quality Assurance staff who verify that the

new version of the software operates without problems in the production environment.

2.1.5.3 Field Support

The WIC Information Technology Unit provides technical and logistical support to the State and

local agency staff and its associated facilities. In conjunction with the ASP help desk, IT staff

provides field support hardware and software assistance to local agencies at 33 administrative sites

and 112 clinic satellite sites throughout the State of New Jersey. IT also provides the same support to

State WIC personnel located at WIC’s State Office facilities.

2.1.5.4.1 General Support of Client

IT staff identifies and develops all specifications and allocations for new hardware and software

applications. IT staff researches and processes all purchase orders for necessary equipment and

services. The IT Unit also keeps an electronic inventory on all State and local agency hardware and

software.


2-15

IT will continue to explore new technology that can be tailored to the delivery of WIC services. New

generations of hardware and software applications are constantly being tested and reviewed as to

their appropriateness for WIC services at both the State and local levels.

New Jersey WIC has awarded a contract for Operations and Maintenance of WIC ACCESS to

Currier, McCabe and Associates.

New Jersey WIC has also awarded a contract for the modification and implementation of the

Maryland WIC on the WEB (WOW) system in New Jersey to Currier, McCabe and Associates.

2.1.5.5 New Jersey WIC Website

The New Jersey WIC website is an excellent resource for WIC participants, health professionals, and

the public in general for information on the New Jersey WIC Program and for links to other public

health nutrition programs and information. The site is being regularly updated because it is an

effective outreach tool as evidenced by the higher number of visits each month.

The web address is www.state.nj.us/health/fns/wic/index.shtml

http://www.state.nj.us/health/fns/wic/index.shtml


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2.2 Local Agency Operations

Direct WIC services are provided on a monthly basis to approximately 294,587 women, infants, and

children at 111 administrative and clinic sites in the 17 local agencies listed below. The agency

sponsors consist of three hospitals, nine municipal/county health departments, and five

private/nonprofit organizations.

Local Agency Type of Agency # Of Administrative/Satellite Clinics

Atlantic City Local Government 2/0

Burlington County Local Government 1/10

East Orange Local Government 2/1

Tri-County/Gateway CAP Non Profit 7/6

Gloucester County Local Government 1/2

Newark Local Government 4/3

Jersey City Local Government 1/3

North Hudson Community Action Corporation

Non Profit 1/5

NORWESCAP Non Profit 3/4

Plainfield Local Government 1/0

St. Joseph’s Regional Medical Center

Hospital 1/15

Children’s Home Society of Mercer

County

Non Profit 1/4

Rutgers Hospital 1/3

Ocean County Local Government 2/5

Passaic Local Government 1/0

Trinitas Hospital 1/4

Visiting Nurse Association of C-NJ Non Profit 3/12

33 admin/79 satellite= 112 sites


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2.3 New Jersey Advocacy Operations

2.3.1 New Jersey WIC Advisory Council

The bylaws of the Council set forth the purpose, organization and council responsibilities, of its

membership which are identified in Section 1.4.


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3.0 FINANCIAL MANAGEMENT

New Jersey WIC Services receives USDA funding to administer the WIC Program throughout New

Jersey as well as funding from other sources to enhance benefits to participants when available. New

Jersey WIC Services establishes its financial plan in accordance with federal and State regulations

and policies.

3.1 Federal Funding Process

3.1.1 Federal Regulations

Section 17 of the Child Nutrition Act of 1966, as amended, provides payment of cash grants to State

agencies that administer the WIC Program through local agencies at no cost to eligible persons.

Congress provides an annual appropriation for WIC, usually in the fall, for the current fiscal year.

States usually receive official notification of the fiscal year award in February. Congress passes a

continuing resolution at the beginning of the fiscal year to temporarily continue the Program until the

budget is approved.

Federal Regulations 7 CFR Part 246.16 describes the distribution of the funds. Food funds consist of

the current year appropriation plus any amount appropriated from the preceding fiscal year. Nutrition

services and administration (NSA) funds consist of an amount sufficient to guarantee a national

average per participant grant, as adjusted for inflation. A State agency may spend forward unspent

NSA funds up to an amount equal to three percent of its total grant (both food and NSA) in any fiscal

year. With prior FNS approval, the State agency may spend forward additional NSA funds up to an

amount equal to one-half of one percent of its total grant for the development of a MIS system.

3.1.2 Distribution of USDA Funds to State Agencies

The Nutrition Services Administration (NSA) funding formula incorporates these provisions:

Base funding level – each State agency shall receive an amount equal to 100% of the final

formula-calculated NSA grant of the preceding fiscal year, prior to any operational

adjustment funding allocations, to the extent funds are available.

Fair share allocation – any remaining funds are allocated to each State to bring it closer to

its NSA fair share target funding level. This calculation is the difference between the NSA

fair share target funding level and the base funding level.


3-2

Operational adjustment funds – up to 10% of the final NSA grant is reserved for FNS

regions to allocate to State agencies according to national guidelines and State needs.

Operational level – level funding from year to year unless State agency’s per participant

NSA expenditure is more than 10 percent higher than its per participant NSA grant.

The food funding formula includes the following provisions:

Fair share target funding – each State agency’s population of persons categorically eligible

for WIC which are at or below 185% of poverty proportionate to the national aggregate

population of persons who are income eligible to participate in the program based on 185%

of poverty criterion.

Prior year grant level allocation - each State agency shall receive prior year final grant

allocation, to the extent funds are available.

Inflation/fair share allocation - remaining funds are allocated by using an anticipated rate of

food cost inflation to all State agencies in proportionate shares, to State agencies with a

grant level less than its fair share target funding level and to State agencies that can

document the need for additional funds.

Breastfeeding Promotion and Support Funding

The funding formula is based on the average number of pregnant and breastfeeding women

participating in the program in May, June and July of the previous year multiplied by the

USDA annual rate to allow for inflation.

This is the minimum that the State must spend on breastfeeding promotion and support.

The State may grant additional State administrative funds, which allow for an anticipated

increase in the number of pregnant and breastfeeding women served.

The Breastfeeding Peer Counseling (BFPC) funding formula is also based on the average number of

pregnant and breastfeeding women participating in the program in May, June and July of the

previous year. States are awarded a percent amount based on the total amount allocated by Congress.

If the USDA targeted breastfeeding funds and the BFPC funds are not spent in their entirety, the State

is subject to a decrease in funding in the following year.

The USDA is authorized to recover or reallocate State funds in the following situations:


3-3

Recovery - funds distributed to a State agency are returned to the USDA. The USDA

determines that the State agency is not expending funds at a rate commensurate with the

amount of funds distributed. Recovery may be voluntary or involuntary.

Reallocation – food funds recovered from State agencies are distributed to State agencies

through application of appropriate funding formulas.

Performance standard of food funds expenditures – 97 percent of food funds allocation.

Food funds allocation in a current fiscal year will be reduced if the prior year expenditures

do not equal or exceed 97 percent of the amount allocated.

Reduction of NSA grant – State agency per participant NSA expenditure is more than 10

percent higher than its per participant NSA grant.

Conversion of food funds to NSA funds – State agency may submit a plan to reduce

average food costs per participant and increase participation above the FNS- projected

level. “State agency may also earn conversion authority based on actual participation

exceeding the Federally-projected participation level calculated in the NSA funding

formula.”

Congress provides a contingency fund to be allocated, as the Secretary of the USDA deems

necessary, to support participation should cost or participation exceed budget estimates to

avoid waiting lists and to ensure that all eligible women, infants and children receive

benefits.

The USDA will grant spendforward requests from states when funds are available. States may

request to spendforward unspent prior year grant funds up to 3% of the prior year’s grant. In addition,

states may request to spendforward an additional ½ % unspent prior year grant funds to use on MIS

projects.

Additional NSA funds can be requested through the prepayment vendor collections. States can report

the amount of unallowable food funds that are not paid to a vendor, as identified in a pre-edit check

system. The food funds are converted to NSA funds.


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3.1.3 Infant Formula Rebate and other Supplemental Foods Rebates

Infant formula procurement – all States are required, unless granted a waiver, to implement infant

formula cost containment measures for each of the types and forms of infant formula prescribed to

the majority of participants. New Jersey WIC Services awarded a three-year contract to Mead

Johnson effective October 1, 2012 to September 30, 2015. Two one-year extensions of the contract

by mutual agreement are granted by the terms of the contract. The infant formula rebate funds are

used to cover food costs thereby reducing the USDA food grant. USDA encourages states to

implement additional food rebate cost containment systems for other supplemental foods, such as

infant cereal.

In Consortia with other states in the Mid-Atlantic Region, led by Virginia, New Jersey has an Infant

Cereal Rebate with Gerber effective August 1, 2012 through July 31, 2015.

3.1.4 Other USDA Funding

Other USDA funds, which vary from year to year, are allocated to provide for special USDA, State,

and LA projects such as the following:

USDA Operational Adjustment (OA) Projects provide funds to support USDA approved

local agency and State agency special projects.

USDA Infrastructure funds are two year grants for special competitive projects.


3-5

3.2 State Funding Process

3.2.1 State Requirements

New Jersey State Plan Section II, Policy and Procedures 5.00 through 5.25 and Section V.,

Administrative Expenditures, provide requirements for local agency administrative expenditures.

New Jersey State Plan Section VI, Food Funds Management, describes the State implementation of

Federal requirements for food funds management.

3.2.2 Distribution of USDA Funds to Local Agency Grantees

New Jersey WIC Services distributes the Federal funds annually to WIC local agencies. The State

advises the local agencies of an initial recommended administrative funding amount each spring to

use for completion of the annual Health Service Grant application. The application is due in June and

the State provides a provisional grant award October 1. Once the USDA funding award is officially

communicated, any additional funding, such as discretionary/operational adjustment funds, is

allocated to the local agencies through a grant modification award. Should any other funds become

available during the fiscal year they are also awarded to the local agencies through a grant

modification.

3.2.3 Funding Formula

The New Jersey WIC Services funding formula is consistent with the USDA funding formula

methodology. New Jersey WIC Services appointed a WIC Funding Formula Committee in July 2002,

to assess the current funding formula criteria and formulate a new WIC Administrative Funding

Formula to most equitably fund the 17 local WIC grantees that provide direct services to WIC

eligible applicants in New Jersey. The committee was composed of local WIC agency coordinators,

WIC Advisory Council representatives and State staff. The formula was finalized in March 2004,

and has been used as a guide to fund the agencies since that time.

The funding formula uses each agency’s most recent closeout year reported participation and the

fiscal year base grant to determine each agency’s Administrative Grant per Participant (AGP). The

highest, median and lowest AGPs are used to fund three participation bands to provide an “AGP”

base grant. The current base funding is compared to the new base grant to determine those over or

under. The grants for all agencies are adjusted, either increased or decreased, depending upon the

availability of federal funds.


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3.2.4 Breastfeeding Promotion and Support

USDA funding supports breastfeeding promotion and support services for WIC participants. Ten

local agencies and two Maternal and Child Health Consortia are funded to provide breastfeeding

services at WIC sites throughout the State. All USDA breastfeeding funds awarded to New Jersey

WIC are distributed to breastfeeding grantees.

Since 2004, Congress has annually appropriated Breastfeeding Peer Counselor Funds (BFPC) to

enable State agencies to implement an effective and comprehensive peer counseling program and/or

enhance an existing breastfeeding peer counseling program. Breastfeeding peer counseling services

are a core service in New Jersey WIC and there is a strong management component. The BFPC funds

are provided to agencies to enhance breastfeeding services originally funded with the USDA

breastfeeding funds. WIC grantees are required to provide services consistent with Loving Support©

through Peer Counseling: A Journey Together – for WIC Managers.

3.2.5 Distribution of Funds to Support Local Agency Operations

New Jersey WIC Services incorporates funding into the State operating budget funding to support LA

service delivery to participants. LA operations funded by State budget monies include the following:

Computer system monthly operational costs, hardware and software costs, and maintenance

costs;

Bank check processing and vendor payment monthly costs;

Nutrition education materials and supplies that are purchased for participants; and

A hotline for participants to obtain local agency addresses and telephone numbers.

3.2.6 Distribution of Funds to Support State Agency Operations

A portion of the Federal funds support State agency operations such as salaries, fringe, indirect costs,

telephone and computer communication services, equipment, printing, supplies, travel, and training,

etc.

3.2.7 Distribution of Other Funds to Support Local Agency Operations

Funding from “other” sources is sometimes available to provide additional services to WIC

participants at the WIC sites. These include the following:

CDC Immunization funds, when available, contain a 10% reserve for WIC and are

provided via the CDC Immunization grant to the New Jersey Department of Health (DOH).


3-7

MCH Services funds are State appropriated funds provided to local grantees to enhance

services to WIC participants when available.

COLA (Cost of Living Adjustments) funds provided from the State budget to support

grantee services to WIC participants when available.


3-8

3.3 Vendor Analysis

New Jersey WIC Services has full responsibility for selecting vendors and ensuring that authorized

WIC vendors provide nutritious authorized WIC foods to WIC participants. WIC participants are

issued approximately 4 or 5 checks per month at the programs 17 local agencies. Participants may

cash their checks at any of the 951 authorized retail groceries or commissaries that were authorized

during the FFY 2014 contract period.

Authorized vendors deposit the checks (which include Food Instruments and Cash-Value Vouchers)

daily at a bank of their choice and receive immediate reimbursement. The vendor’s bank then routes

the redeemed checks to New Jersey WIC Services contract bank. The bank maintains daily files of all

check redemptions and transmits the information daily to WIC ACCESS contract vendors who

provides one-to-one reconciliation and generates vendor reports.

The vendors are categorized into peer groups of similar type with comparable prices. Peer group 1

vendors are chain vendors who are a corporation that own 11 or more stores. Peer group 2 vendors

are large independent vendors that have 3 or more registers. Peer group 3 vendors are small

independent vendors that have 1-2 registers. Peer group 4 vendors are pharmacies that are authorized

to provide only special formulas. Peer group 5 vendors are commissaries, which provide WIC

authorized food items only to WIC participants that are affiliated with the military.

New Jersey WIC Services monitors the vendors through computer reports and with onsite visits to

ensure compliance with federal and state requirements. Vendor prices are collected and monitored to

prevent overcharging.

The vendor summary for FY 2013 provided the total number of checks and dollar amounts for the

checks. The vendors redeemed 6,907,029 checks in the amount of $140,349,359.90. (Refer to

Charts 1 and 2). The State agency does not have above-50-percent vendors participating as

authorized vendors.


3-9

Chain 404

Large 182

Small 360

Pharmacy 2 Commissary 3

Number of Vendors By Store Type FFY 2015

CHART 1

Chain Large Small Pharmacy


3-10

Vendor Redemptions FFY 2013

Chart 2

Chain,

$50,969,532

Large,

$45,753,642

Small,

$41,303,782

Pharmacy,

$2,111,793 Commissary,

$210,609

Chain Large Small Pharmacy Commissary

y


4-1

4.0 Population Analysis

The data for Population Analysis has been updated with data from the 2010 US Census.

4.1 New Jersey WIC Services Affirmative Action Plan Statistical Methodology

The New Jersey WIC Affirmative Action Plan is based on five criteria variables:

Infant Death Rate: Infant death rate is the number of infant deaths per 1,000 live births.

Perinatal Death Rate: Perinatal death rate is the number of fetal and neonatal deaths

per 1,000 live births and fetal deaths.

Low Birthweight Rate: Low birthweight rate is the number of births weighing less than

5-lbs. 8oz. per 1,000 live births.

Low-Income Rate: Low-income rate is the percentage of persons below 200% of the

2010 poverty level as reported by the 2010 Census of Population.

Births to Teenage Mothers Ratio: Teenage mothers birth ratio is the number of births to

mothers under 20 years of age per 1,000 live births.

Data on seventy-five (75) municipalities and twenty-one counties (21) were obtained for each

criterion variable. Municipalities with populations of 30,000 or more persons, based upon the 2010

Census were included in this analysis. County figures are for the entire county or in counties where

individual municipalities were included, the balance of the county. Specifically, composite rate for

the years 2007, 2008, and 2009, were computed for infant deaths, perinatal deaths, low birth weight

infants, and births to teenage mothers. This data was obtained from official New Jersey vital

statistics. The low-income data was obtained from the 2010 Census of Population. The vital rates

were based on pooled data to increase the stability of the estimates. Furthermore, data from each

year weighted the same in the computation of the composite rates.

The five criteria variables were converted to standard scores. That is,

Zi = (Xi-X)/S

The rate minus the mean rate divided by the standard deviation of the rate. The purpose of the

conversion to standard scores was to have the rates in a common scale with a mean of zero and a

variance of one. Such standardization allows one to assign weights to each variable to produce a

composite score for each area that is not influenced by the variance of the individual criterion

variable. The composite score is the weighted sum of the five criteria variables:


4-2

Tj = WIZIj + W2Z2j + W5z5j.

After considerable deliberation, it was decided to assign the greatest weight to low birthweight

because this variable was judged more indicative of nutritional risk than any of the other four

variables. The low birthweight rate was assigned the weight of 1.00. The weights of the other

variables were set equal to their Pearsonian correlation coefficients with low birthweight rate for the

municipalities and counties or balance of counties. Specifically, the weights are: infant death rate

(0.793), perinatal death rate (0.738), low-income rate (0.814), and births to teenage mothers ratio

(0.772).

New Jersey has been successful in distributing WIC services Statewide and generally in proportion to

need throughout the State. New Jersey WIC Services will continue to inform non-WIC agencies and

the public regarding the availability of program benefits through a variety of communication sources.

Media comparisons may include, but are not limited to, public service announcements, information

dissemination via posters and flyers, in-service sessions and presentations to health maintenance

organizations, and community outreach efforts by local WIC agencies. The Affirmative Action

Priority Ranking (unofficial) may be used as a factor in future determinations for program resource

allocations, collocation expansions and prioritization of services to women, infants and children.

Refer to Tables 1-5. An asterisk (*) denotes a municipality over 30,000 for the first time in the 2010

census.

Table 1 New Jersey WIC Affirmative Action Ranking for FFY 2015

Table 2 Infant Perinatal Data

Table 3 Neonatal and Infant Deaths

Table 4 Birth Data

Table 5 Infant Rates and Birth Ratio Data


4-3

Table 1. New Jersey WIC Affirmative Action Ranking For FFY 2014

WEIGHTED

TOTAL

SCORE

AREA 2007-2009 RANK

Camden City 6.950 1

Trenton City 6.719 2

East Orange City 6.689 3

Newark City 6.296 4

Irvington Town 6.145 5

Willingboro Township 5.786 6

Orange City 5.484 7

Pennsauken Township 5.113 8

Atlantic City 5.057 9

CUMBERLAND COUNTY (Balance) 4.494 10

SALEM COUNTY (Total) 3.569 11

Paterson City 3.357 12

Vineland City 3.137 13

Jersey City 2.923 14

Linden City 2.763 15

Elizabeth City 1.726 16

Galloway Township 1.667 17

Winslow Township 1.465 18

Plainfield City 1.449 19

Egg Harbor Township 1.263 20

ATLANTIC COUNTY (Balance) 1.219 21

Ewing Township 1.217 22

Bayonne City 1.056 23

Teaneck Township 1.009 24

Hamilton Township 0.934 25

Hackensack City 0.822 26

Manchester Township 0.716 27

Perth Amboy City 0.698 28

Passaic City 0.567 29

Belleville Town 0.542 30

CAMDEN COUNTY (Balance) 0.539 31

Union City 0.483 32

New Brunswick City 0.471 33

Cherry Hill Township 0.420 34

CAPE MAY COUNTY (Total) 0.144 35

West Orange Township 0.107 36

Gloucester Township -0.003 37

Long Branch City -0.039 38

Bloomfield Town -0.087 39

Union Township -0.092 40

BURLINGTON COUNTY (Balance) -0.199 41


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WEIGHTED

TOTAL

SCORE

AREA 2007-2009 RANK

Kearny Town -0.270 42

WARREN COUNTY (Total) -0.369 43

GLOUCESTER COUNTY (Balance) -0.423 44

Montclair Town -0.471 45

*Lawrence Township -0.525 46

MONMOUTH COUNTY (Balance) -0.564 47

Clifton City -0.574 48

UNION COUNTY (Balance) -0.593 49

West New York Town -0.607 50

MIDDLESEX COUNTY (Balance) -0.943 51

Freehold Township -0.999 52

*Garfield City -1.157 53

Sayreville Borough -1.183 54

Brick Township -1.224 55

Berkeley Township -1.225 56

North Brunswick Township -1.239 57

Piscataway Township -1.263 58

Parsippany-Troy Hills -1.378 59

Franklin Township -1.388 60

HUDSON COUNTY (Balance) -1.393 61

OCEAN COUNTY (Balance) -1.414 62

SUSSEX COUNTY (Total) -1.431 63

*Deptford Township -1.433 64

Edison Township -1.455 65

Wayne Township -1.480 66

Fort Lee Borough -1.511 67

Bridgewater Township -1.520 68

MORRIS COUNTY (Balance) -1.524 69

Old Bridge Township -1.535 70

*Monroe Township Middlesex -1.624 71

Woodbridge Township -1.641 72

SOMERSET COUNTY (Balance) -1.668 73

Hoboken City -1.709 74

South Brunswick Township -1.743 75

Washington Township -1.807 76

*Monroe Township Gloucester -1.832 77


4-5

WEIGHTED

TOTAL

SCORE

AREA 2007-2009 RANK

Toms River Township -1.842 78

Howell Township -1.868 79

PASSAIC COUNTY (Balance) -1.880 80

ESSEX COUNTY (Balance) -1.908 81

MERCER COUNTY (Balance) -1.961 82

BERGEN COUNTY (Balance) -2.018 83

Jackson Township -2.048 84

Hillsborough Township -2.058 85

Fair Lawn Borough -2.197 86

Evesham Township -2.393 87

Mt. Laurel Township -2.617 88

North Bergen Township -2.629 89

HUNTERDON COUNTY (Total) -2.690 90

East Brunswick Township -2.781 91

Middletown Township -2.955 92

Lakewood Township -3.281 93

Manalapan Township -3.351 94

Marlboro Township -3.456 95

*Westfield Town -3.769 96


4-6

ACTIVE

WEIGHTED

TOTAL ENROLLEES PERCENT

TOTAL

ELIGIBLE FIRST ELIGIBLES

SCORE

WOMEN & QUARTER ACTIVE

AREA 2007-2009 RANK CHILDREN FFY 2014 ENROLLEES

Camden City 6.950 1 8,103 5,724 70.64%

Trenton City 6.719 2 6,146 5,511 89.67%

East Orange City 6.689 3 3,123 2,770 88.70%

Newark City 6.296 4 17,421 13,135 75.40%

Irvington Town 6.145 5 2,789 2,690 96.45%

Willingboro Township 5.786 6 618 802 129.77%

Orange City 5.484 7 1,778 1,700 95.61%

Pennsauken Township 5.113 8 944 1,110 117.58%

Atlantic City 5.057 9 3,302 1,987 60.18%

CUMBERLAND COUNTY (Balance) 4.494 10 4,288 3,917 91.35%

SALEM COUNTY (Total) 3.569 11 1,148 1,366 118.99%

Paterson City 3.357 12 11,059 9,896 89.48%

Vineland City 3.137 13 2,007 2,335 116.34%

Jersey City 2.923 14 9,057 9,604 106.04%

Linden City 2.763 15 761 717 94.22%

Elizabeth City 1.726 16 6,860 5,605 81.71%

Galloway Township 1.667 17 548 393 71.72%

Winslow Township 1.465 18 819 841 102.69%

Plainfield City 1.449 19 2,768 3,363 121.50%

Egg Harbor Township 1.263 20 761 609 80.03%

ATLANTIC COUNTY (Balance) 1.219 21 3,883 2,976 76.64%

Ewing Township 1.217 22 426 354 83.10%

Bayonne City 1.056 23 1,488 1,824 122.58%

Teaneck Township 1.009 24 468 371 79.27%

Hamilton Township 0.934 25 1,193 964 80.80%

Hackensack City 0.822 26 1,390 1,294 93.09%

Manchester Township 0.716 27 386 153 39.64%

Perth Amboy City 0.698 28 2,741 3,490 127.33%

Passaic City 0.567 29 6,607 4,829 73.09%

Belleville Town 0.542 30 824 670 81.31%

CAMDEN COUNTY (Balance) 0.539 31 3,962 3,752 94.70%

Union City 0.483 32 3,846 4,084 106.19%

New Brunswick City 0.471 33 4,666 3,745 80.26%

Cherry Hill Township 0.420 34 532 346 65.04%

CAPE MAY COUNTY (Total) 0.144 35 1,747 1,733 99.20%

West Orange Township 0.107 36 823 619 75.21%

Gloucester Township -0.003 37 1,011 562 55.59%

Long Branch City -0.039 38 1,467 1,492 101.70%

Bloomfield Town -0.087 39 1,000 688 68.80%

Union Township -0.092 40 690 477 69.13%

BURLINGTON COUNTY (Balance) -0.199 41 4,262 4,303 100.96%


4-7

ACTIVE

WEIGHTED


TOTAL


SCORE



Kearny Town -0.270 42 1,005 849 84.48%

WARREN COUNTY (Total) -0.369 43 1,391 1,343 96.55%

GLOUCESTER COUNTY (Balance) -0.423 44 2,710 3,026 111.66%

Montclair Town -0.471 45 383 215 56.14%

*Lawrence Township -0.525 46 382 207 54.19%

MONMOUTH COUNTY (Balance) -0.564 47 5,955 6,092 102.30%

Clifton City -0.574 48 1,928 1,607 83.35%

UNION COUNTY (Balance) -0.593 49 3,142 1,946 61.94%

West New York Town -0.607 50 2,612 2,710 103.75%

MIDDLESEX COUNTY (Balance) -0.943 51 2,605 2,255 86.56%

Freehold Township -0.999 52 255 44 17.25%

*Garfield City -1.157 53 989 885 89.48%

Sayreville Borough -1.183 54 776 678 87.37%

Brick Township -1.224 55 935 694 74.22%

Berkeley Township -1.225 56 506 242 47.83%

North Brunswick Township -1.239 57 897 804 89.63%

Piscataway Township -1.263 58 606 24 3.96%

Parsippany-Troy Hills -1.378 59 531 244 45.95%

Franklin Township -1.388 60 992 999 100.71%

HUDSON COUNTY (Balance) -1.393 61 1,400 1,304 93.14%

OCEAN COUNTY (Balance) -1.414 62 2,499 1,796 71.87%

SUSSEX COUNTY (Total) -1.431 63 1,538 970 63.07%

*Deptford Township -1.433 64 442 234 52.94%

Edison Township -1.455 65 1,486 1,347 90.65%

Wayne Township -1.480 66 306 193 63.07%

Fort Lee Borough -1.511 67 426 84 19.72%

Bridgewater Township -1.520 68 249 140 56.22%

MORRIS COUNTY (Balance) -1.524 69 4,047 2,732 67.51%

Old Bridge Township -1.535 70 714 68 9.52%

*Monroe Township Middlesex -1.624 71 232 76 32.76%

Woodbridge Township -1.641 72 1,252 1,131 90.34%

SOMERSET COUNTY (Balance) -1.668 73 1,872 2,256 120.51%

Hoboken City -1.709 74 799 249 31.16%

South Brunswick Township -1.743 75 375 210 56.00%

Washington Township -1.807 76 418 125 29.90%

*Monroe Township Gloucester -1.832 77 571 524 91.77%


4-8

ACTIVE

WEIGHTED


TOTAL


SCORE



Toms River Township -1.842 78 1,163 1,252 107.65%

Howell Township -1.868 79 559 239 42.75%

PASSAIC COUNTY (Balance) -1.880 80 1,772 1,373 77.48%

ESSEX COUNTY (Balance) -1.908 81 1,250 600 48.00%

MERCER COUNTY (Balance) -1.961 82 1,145 756 66.03%

BERGEN COUNTY (Balance) -2.018 83 7,122 5,025 70.56%

Jackson Township -2.048 84 544 476 87.50%

Hillsborough Township -2.058 85 263 169 64.26%

Fair Lawn Borough -2.197 86 241 108 44.81%

Evesham Township -2.393 87 329 157 47.72%

Mt. Laurel Township -2.617 88 302 195 64.57%

North Bergen Township -2.629 89 1,851 1,984 107.19%

HUNTERDON COUNTY (Total) -2.690 90 894 479 53.58%

East Brunswick Township -2.781 91 264 439 166.29%

Middletown Township -2.955 92 454 291 64.10%

Lakewood Township -3.281 93 13,430 15,555 115.82%

Manalapan Township -3.351 94 273 91 33.33%

Marlboro Township -3.456 95 158 52 32.91%

*Westfield Town -3.769 96 159 56 35.22%

207,111 180,401 87.10%


4-9

Table 2. Infant Perinatal Data

CENSUS LIVE BIRTHS

FETAL

DEATHS

POPULATION

AREA 2010 2009 2008 2007 2009 2008 2007

Atlantic City 39,558 790 822 819 7 7 9

Egg Harbor Township 43,323 535 520 515 3 3 1

Galloway Township 37,349 383 391 343 3 0 2

ATLANTIC COUNTY (Balance) 154,319 1,904 1,847 1,880 14 17 19

Fair Lawn Borough 32,457 296 300 295 1 1 3

Fort Lee Borough 35,345 278 288 305 3 1 2

*Garfield City 30,487 382 418 454 2 1 3

Hackensack City 43,010 695 654 654 3 8 7

Teaneck Township 39,776 422 452 434 4 1 6

BERGEN COUNTY (Balance) 724,041 6,692 6,737 7,079 31 31 42

Evesham Township 45,538 416 484 517 1 2 6

Mt. Laurel Township 41,864 416 420 418 0 1 0

Willingboro Township 31,629 352 409 397 7 2 3

BURLINGTON COUNTY

(Balance) 329,703 3,439 3,531 3,598 21 21 36

Camden City 77,344 1,591 1,725 1,831 21 15 17

Cherry Hill Township 71,045 586 595 647 3 2 0

Gloucester Township 64,634 701 794 773 6 2 6

Pennsauken Township 35,885 501 437 481 4 4 5

Winslow Township 39,499 517 527 551 3 0 4

CAMDEN COUNTY (Balance) 225,250 2,661 2,622 2,667 14 18 17

CAPE MAY COUNTY (Total) 97,265 969 884 947 8 6 6

Vineland City 60,724 830 928 902 8 5 6

CUMBERLAND COUNTY

(Balance) 96,174 1,488 1,569 1,603 16 12 20

Belleville Town 35,926 490 494 498 3 7 0

Bloomfield Town 47,315 571 675 666 6 1 5

East Orange City 64,270 982 1,009 1,059 7 15 21

Irvington Town 53,926 957 997 1,044 16 8 22

Montclair Town 37,669 302 331 366 2 0 3

Newark City 277,140 4,577 4,734 4,779 50 68 75

Orange City 30,134 585 584 574 6 8 5

West Orange Township 46,207 590 612 602 8 2 3

ESSEX COUNTY (Balance) 191,382 1,784 1,777 1,914 7 11 6


4-10

CENSUS LIVE BIRTHS

FETAL

DEATHS

POPULATION

AREA 2010 2009 2008 2007 2009 2008 2007

*Deptford Township 30,561 291 328 377 3 0 3

*Monroe Township Gloucester 36,129 410 391 397 2 5 2

Washington Township 48,559 420 396 425 2 3 2

GLOUCESTER COUNTY

(Balance) 173,039 1,937 1,792 1,902 19 13 6

Bayonne City 63,024 751 716 695 5 5 6

Hoboken City 50,005 576 492 526 1 0 5

Jersey City 247,597 3,407 3,459 3,427 22 36 27

Kearny Town 40,684 446 458 463 5 2 1

North Bergen Township 60,773 721 776 745 1 8 4

Union City 66,455 993 1,045 1,037 9 7 7

West New York Town 49,708 759 754 747 4 5 5

HUDSON COUNTY (Balance) 56,020 653 608 609 3 6 1

HUNTERDON COUNTY (Total) 128,349 953 1,128 1,133 6 6 6

Ewing Township 35,790 293 335 352 0 2 2

Hamilton Township 88,464 949 916 924 7 7 9

*Lawrence Township 33,472 324 356 373 3 0 4

Trenton City 84,913 1,592 1,654 1,606 16 20 17

MERCER COUNTY (Balance) 123,874 1,264 1,308 1,347 3 4 7

East Brunswick Township 47,512 337 387 377 0 2 1

Edison Township 99,967 1,314 1,389 1,379 7 6 10

*Monroe Township Middlesex 39,132 251 254 280 0 2 2

New Brunswick City 55,181 1,078 1,070 1,123 4 7 7

North Brunswick Township 40,742 578 645 637 2 1 2

Old Bridge Township 65,375 667 678 747 3 1 5

Perth Amboy City 50,814 893 849 883 9 4 4

Piscataway Township 56,044 674 709 748 5 4 3

Sayreville Borough 42,704 575 615 597 3 3 5

South Brunswick Township 43,417 386 461 485 1 2 1

Woodbridge Township 99,585 1,217 1,226 1,241 2 4 8

MIDDLESEX COUNTY (Balance) 169,385 2,049 2,087 2,152 21 15 8

Freehold Township 36,184 268 288 330 3 1 2

Howell Township 51,075 462 521 589 2 5 1

Long Branch City 30,719 515 547 514 4 2 6

Manalapan Township 38,872 305 322 319 3 1 1

Marlboro Township 40,191 260 279 306 0 3 2

Middletown Township 66,522 628 650 686 9 2 5

MONMOUTH COUNTY (Balance) 366,817 3,931 4,033 4,158 30 33 29


4-11

CENSUS LIVE BIRTHS

FETAL

DEATHS

POPULATION

AREA 2010 2009 2008 2007 2009 2008 2007

Parsippany-Troy Hills 53,238 623 612 628 1 0 4

MORRIS COUNTY (Balance) 439,038 4,340 4,607 4,762 24 29 23

Berkeley Township 41,255 233 258 306 0 0 2

Brick Township 75,072 708 738 792 6 1 5

Toms River Township 91,239 900 917 990 4 7 2

Jackson Township 54,856 490 518 556 3 5 5

Lakewood Township 92,843 3,600 3,274 3,237 16 4 11

Manchester Township 43,070 183 230 233 5 1 0

OCEAN COUNTY (Balance) 178,232 1,719 1,808 1,838 7 3 14

Clifton City 84,136 1,100 1,097 1,181 5 8 4

Passaic City 69,781 1,443 1,468 1,602 11 21 7

Paterson City 146,199 2,724 2,782 2,834 24 20 27

Wayne Township 54,717 413 435 452 1 3 4

PASSAIC COUNTY (Balance) 146,393 1,546 1,581 1,663 2 4 8

SALEM COUNTY (Total) 66,083 599 612 627 6 6 5

Bridgewater Township 44,464 405 450 472 2 3 2

Franklin Township 62,300 950 971 1,008 2 10 8

Hillsborough Township 38,303 403 413 395 5 3 3

SOMERSET COUNTY (Balance) 178,377 1,932 1,982 2,133 7 10 17

SUSSEX COUNTY (Total) 149,265 1,344 1,490 1,501 9 5 7

Elizabeth City 124,969 2,111 2,185 2,299 13 21 22

Linden City 40,499 451 453 483 4 4 4

Plainfield City 49,808 970 940 929 6 8 10

Union Township 56,642 642 592 634 2 5 2

*Westfield Town 30,316 315 302 298 1 0 1

UNION COUNTY (Balance) 234,265 2,628 2,723 2,800 14 17 17

WARREN COUNTY (Total) 108,692 821 973 1,143 3 6 5

8,791,894 104,402 106,900 110,044 690 711 795


4-12

Table 3. Neonatal and Infant Deaths

NEONATAL DEATHS

INFANT

DEATHS

AREA 2009 2008 2007 2009 2008 2007

Atlantic City 6 4 5 11 7 6

Egg Harbor Township 3 2 6 4 2 6

Galloway Township 2 2 5 3 4 5

ATLANTIC COUNTY (Balance) 8 10 10 14 13 14

Fair Lawn Borough 0 0 1 0 2 1

Fort Lee Borough 1 0 2 2 0 3

*Garfield City 0 1 0 0 1 1

Hackensack City 3 2 2 5 2 3

Teaneck Township 3 3 0 3 4 0

BERGEN COUNTY (Balance) 22 17 13 28 27 23

Evesham Township 0 3 1 1 3 1

Mt. Laurel Township 2 0 1 2 0 1

Willingboro Township 1 5 4 1 6 5

BURLINGTON COUNTY

(Balance) 12 16 15 14 24 19

Camden City 11 15 14 13 18 20

Cherry Hill Township 2 6 5 3 7 5

Gloucester Township 3 3 0 5 5 1

Pennsauken Township 4 5 3 5 7 5

Winslow Township 5 5 1 6 5 2

CAMDEN COUNTY (Balance) 13 13 15 15 19 20

CAPE MAY COUNTY (Total) 5 4 4 7 6 6

Vineland City 4 7 9 6 10 12

CUMBERLAND COUNTY

(Balance) 13 8 13 19 12 16

Belleville Town 1 3 1 2 5 2

Bloomfield Town 2 3 3 3 3 6

East Orange City 6 6 6 10 9 9

Irvington Town 7 6 2 10 10 9

Montclair Town 1 0 2 2 1 2

Newark City 30 28 27 50 56 48

Orange City 5 2 5 7 7 5

West Orange Township 0 1 0 1 3 1

ESSEX COUNTY (Balance) 2 4 3 2 6 6


4-13

NEONATAL DEATHS

INFANT

DEATHS

AREA 2009 2008 2007 2009 2008 2007

*Deptford Township 0 0 1 1 0 2

*Monroe Township Gloucester 1 0 0 1 1 1

Washington Township 0 0 2 0 0 2

GLOUCESTER COUNTY

(Balance) 7 6 6 11 9 9

Bayonne City 4 2 2 4 6 3

Hoboken City 0 1 3 1 1 3

Jersey City 14 18 13 22 26 20

Kearny Town 2 1 0 5 3 0

North Bergen Township 0 2 0 0 3 0

Union City 1 3 5 3 6 7

West New York Town 2 2 6 3 2 6

HUDSON COUNTY (Balance) 0 3 0 1 5 0

HUNTERDON COUNTY (Total) 0 4 3 1 4 3

Ewing Township 2 3 1 2 3 2

Hamilton Township 5 3 6 9 4 9

*Lawrence Township 6 0 2 9 0 3

Trenton City 19 14 12 27 21 18

MERCER COUNTY (Balance) 0 5 2 1 8 3

East Brunswick Township 1 0 1 1 1 1

Edison Township 0 3 2 1 6 2

*Monroe Township Middlesex 0 0 0 0 0 0

New Brunswick City 1 3 8 1 5 8

North Brunswick Township 2 0 3 2 2 3

Old Bridge Township 4 1 0 4 4 0

Perth Amboy City 2 2 2 3 5 7

Piscataway Township 1 4 2 2 5 3

Sayreville Borough 1 1 3 1 1 4

South Brunswick Township 0 0 0 2 1 0

Woodbridge Township 5 2 2 6 2 2

MIDDLESEX COUNTY (Balance) 7 7 8 8 9 10

Freehold Township 3 1 0 3 1 0

Howell Township 2 1 3 2 1 4

Long Branch City 2 1 1 2 2 2

Manalapan Township 0 1 0 0 1 0

Marlboro Township 2 0 0 2 0 0

Middletown Township 1 0 0 1 0 1

MONMOUTH COUNTY (Balance) 11 10 8 16 20 17


4-14

NEONATAL DEATHS

INFANT

DEATHS

AREA 2009 2008 2007 2009 2008 2007

Parsippany-Troy Hills 0 4 0 0 4 2

MORRIS COUNTY (Balance) 11 14 14 13 21 20

Berkeley Township 1 0 1 2 2 2

Brick Township 3 1 4 4 1 4

Toms River Township 5 0 1 6 2 3

Jackson Township 1 1 1 1 1 1

Lakewood Township 5 4 7 9 7 13

Manchester Township 0 1 1 0 3 1

OCEAN COUNTY (Balance) 7 5 5 8 6 9

Clifton City 3 4 3 4 6 9

Passaic City 4 4 3 5 4 5

Paterson City 10 9 9 17 16 20

Wayne Township 0 1 0 0 1 0

PASSAIC COUNTY (Balance) 2 2 2 3 6 4

SALEM COUNTY (Total) 5 3 5 7 3 8

Bridgewater Township 2 1 0 2 2 0

Franklin Township 4 1 1 4 3 2

Hillsborough Township 1 0 0 1 0 1

SOMERSET COUNTY (Balance) 4 3 5 5 4 7

SUSSEX COUNTY (Total) 9 5 3 10 6 4

Elizabeth City 9 11 8 15 14 13

Linden City 2 3 6 2 3 7

Plainfield City 3 1 2 5 5 2

Union Township 2 1 2 3 2 2

*Westfield Town 1 0 1 1 0 2

UNION COUNTY (Balance) 13 9 13 13 10 18

WARREN COUNTY (Total) 3 4 6 5 7 9

395 380 388 557 591 586


4-15

Table 4. Birth Data

LOW BIRTH WEIGHT BIRTHS TO TEENS

(UNDER 20 YEARS)

AREA 2009 2008 2007 2009 2008 2007

Atlantic City 75 80 88 108 123 127

Egg Harbor Township 48 45 50 31 33 40

Galloway Township 29 41 31 21 24 13

ATLANTIC COUNTY (Balance) 141 143 166 165 163 187

Fair Lawn Borough 19 25 21 3 3 2

Fort Lee Borough 15 17 28 3 1 2

*Garfield City 35 29 36 14 12 28

Hackensack City 63 52 54 36 36 31

Teaneck Township 37 49 41 7 6 6

BERGEN COUNTY (Balance) 471 494 493 97 130 144

Evesham Township 33 26 35 3 5 8

Mt. Laurel Township 33 30 35 10 13 3

Willingboro Township 39 40 59 41 61 48

BURLINGTON COUNTY

(Balance) 232 280 301 185 160 199

Camden City 168 209 208 350 352 413

Cherry Hill Township 39 55 72 18 17 27

Gloucester Township 52 73 78 41 48 43

Pennsauken Township 58 36 53 65 53 50

Winslow Township 44 55 46 39 32 39

CAMDEN COUNTY (Balance) 227 225 206 158 159 174

CAPE MAY COUNTY (Total) 61 58 69 92 92 88

Vineland City 66 90 78 105 119 143

CUMBERLAND COUNTY

(Balance) 148 136 170 235 270 263

Belleville Town 43 43 39 26 30 23

Bloomfield Town 47 69 48 19 24 19

East Orange City 136 128 128 113 122 140

Irvington Town 122 114 122 130 136 91

Montclair Town 16 29 37 11 9 15

Newark City 483 518 556 621 636 710

Orange City 64 67 71 45 61 46

West Orange Township 59 64 58 9 26 16

ESSEX COUNTY (Balance) 148 124 171 20 24 19


4-16


(UNDER 20 YEARS)

AREA 2009 2008 2007 2009 2008 2007

*Deptford Township 20 16 35 17 17 20

*Monroe Township Gloucester 27 32 27 22 23 22

Washington Township 38 35 24 16 10 23

GLOUCESTER COUNTY

(Balance) 151 134 146 113 123 119

Bayonne City 53 80 65 34 47 53

Hoboken City 42 45 34 14 11 21

Jersey City 347 349 352 315 343 354

Kearny Town 37 32 38 26 32 31

North Bergen Township 40 46 45 33 55 50

Union City 66 77 76 113 101 107

West New York Town 47 46 47 55 70 66

HUDSON COUNTY (Balance) 41 47 51 24 31 27

HUNTERDON COUNTY (Total) 54 79 86 14 22 16

Ewing Township 28 29 38 11 16 12

Hamilton Township 78 77 76 46 52 49

*Lawrence Township 24 17 21 8 4 11

Trenton City 180 186 165 214 288 300

MERCER COUNTY (Balance) 97 110 94 22 21 25

East Brunswick Township 29 20 29 3 11 3

Edison Township 127 99 123 20 26 26

*Monroe Township Middlesex 16 26 34 0 1 3

New Brunswick City 81 81 80 129 120 113

North Brunswick Township 55 55 42 19 19 17

Old Bridge Township 59 58 56 8 14 17

Perth Amboy City 59 61 67 129 123 124

Piscataway Township 52 55 63 10 22 15

Sayreville Borough 42 55 48 15 17 11

South Brunswick Township 35 47 35 6 9 6

Woodbridge Township 93 109 96 29 35 36

MIDDLESEX COUNTY (Balance) 156 146 175 67 72 78

Freehold Township 15 23 23 8 4 8

Howell Township 36 25 48 13 10 9

Long Branch City 38 37 32 47 49 47

Manalapan Township 14 27 21 1 2 4

Marlboro Township 19 14 18 1 2 1

Middletown Township 44 41 48 8 10 9

MONMOUTH COUNTY (Balance) 311 320 299 183 232 232


4-17


(UNDER 20 YEARS)

AREA 2009 2008 2007 2009 2008 2007

Parsippany-Troy Hills 71 51 47 5 4 7

MORRIS COUNTY (Balance) 326 358 381 82 100 102

Berkeley Township 17 12 21 10 10 16

Brick Township 44 57 73 24 26 26

Toms River Township 65 57 70 37 36 50

Jackson Township 28 37 44 17 13 18

Lakewood Township 163 157 143 97 125 132

Manchester Township 11 14 31 10 15 9

OCEAN COUNTY (Balance) 113 137 130 98 95 98

Clifton City 72 89 100 51 57 67

Passaic City 94 103 138 145 193 196

Paterson City 256 264 318 379 420 404

Wayne Township 39 45 34 3 8 3

PASSAIC COUNTY (Balance) 112 134 132 42 42 53

SALEM COUNTY (Total) 49 59 55 69 108 87

Bridgewater Township 35 41 36 6 4 7

Franklin Township 60 99 67 48 45 48

Hillsborough Township 26 29 35 7 5 7

SOMERSET COUNTY (Balance) 153 164 158 78 64 70

SUSSEX COUNTY (Total) 99 97 121 46 43 49

Elizabeth City 172 186 195 210 222 261

Linden City 45 42 47 18 27 39

Plainfield City 90 92 86 99 97 91

Union Township 68 61 50 17 14 14

*Westfield Town 19 24 11 0 1 3

UNION COUNTY (Balance) 231 215 209 79 98 108

WARREN COUNTY (Total) 77 59 86 21 37 65

8,437 8,863 9,223 6,312 6,933 7,252


4-18

Table 5. Infant Rates and Birth Ratio Data

LOW

BIRTH INFANT PERINATAL TEEN 2010

WEIGHT DEATH DEATH BIRTH 200%

RATE RATE RATE RATIO POVERTY

AREA 2007-2009 2007-2009 2007-2009 2007-2009 RATE

Atlantic City 100.0 9.9 21.1 147.3 54.4%

Egg Harbor Township 91.1 7.6 13.3 66.2 18.7%

Galloway Township 90.4 10.7 13.4 51.9 19.1%

ATLANTIC COUNTY (Balance) 79.9 7.3 15.5 91.5 27.3%

Fair Lawn Borough 73.0 3.4 8.9 9.0 10.7%

Fort Lee Borough 68.9 5.7 11.4 6.9 19.0%

*Garfield City 79.7 1.6 9.5 43.1 31.7%

Hackensack City 84.4 5.0 16.7 51.4 27.8%

Teaneck Township 97.1 5.4 16.6 14.5 14.0%

BERGEN COUNTY (Balance) 71.1 3.8 9.3 18.1 13.6%

Evesham Township 66.3 3.5 10.5 11.3 9.2%

Mt. Laurel Township 78.1 2.4 4.0 20.7 9.4%

Willingboro Township 119.2 10.4 23.0 129.5 21.6%

BURLINGTON COUNTY

(Balance) 76.9 5.4 14.3 51.5 15.8%

Camden City 113.7 9.9 21.1 216.6 63.1%

Cherry Hill Township 90.8 8.2 10.4 33.9 11.4%

Gloucester Township 89.5 4.9 9.6 58.2 17.5%

Pennsauken Township 103.6 12.0 23.6 118.4 26.2%

Winslow Township 90.9 8.2 13.7 69.0 20.1%

CAMDEN COUNTY (Balance) 82.8 6.8 13.5 61.8 19.6%

CAPE MAY COUNTY (Total) 67.1 6.8 14.5 97.1 24.8%

Vineland City 88.0 10.5 16.8 138.0 29.9%

CUMBERLAND COUNTY

(Balance) 97.4 10.1 19.3 164.8 36.9%

Belleville Town 84.3 6.1 14.0 53.3 22.1%

Bloomfield Town 85.8 6.3 10.4 32.4 21.0%

East Orange City 128.5 9.2 24.1 123.0 40.5%

Irvington Town 119.4 9.7 24.8 119.1 36.7%

Montclair Town 82.1 5.0 11.9 35.0 14.9%

Newark City 110.5 10.9 24.9 139.6 48.9%

Orange City 115.9 10.9 22.0 87.2 40.8%

West Orange Township 100.3 2.8 10.4 28.3 17.8%

ESSEX COUNTY (Balance) 80.9 2.6 8.3 11.5 8.9%


4-19

LOW




AREA 2007-2009 2007-2009 2007-2009 2007-2009 RATE

*Deptford Township 71.3 3.0 10.9 54.2 17.7%

*Monroe Township Gloucester 71.8 2.5 8.3 55.9 18.4%

Washington Township 78.2 1.6 8.8 39.5 12.9%

GLOUCESTER COUNTY

(Balance) 76.5 5.2 11.8 63.0 19.1%

Bayonne City 91.6 6.0 12.8 62.0 27.1%

Hoboken City 75.9 3.1 8.1 28.9 20.8%

Jersey City 101.8 6.6 16.3 98.3 35.1%

Kearny Town 78.3 5.9 9.4 65.1 28.6%

North Bergen Township 58.4 1.3 8.0 61.6 32.1%

Union City 71.2 5.2 12.9 104.4 48.2%

West New York Town 61.9 4.9 11.9 84.5 46.4%

HUDSON COUNTY (Balance) 74.3 3.2 8.5 43.9 29.3%

HUNTERDON COUNTY (Total) 68.1 2.5 8.3 16.2 10.4%

Ewing Township 96.9 7.1 13.2 39.8 17.4%

Hamilton Township 82.8 7.9 16.0 52.7 16.8%

*Lawrence Township 58.9 11.4 15.1 21.8 14.2%

Trenton City 109.4 13.6 22.4 165.3 51.3%

MERCER COUNTY (Balance) 76.8 3.1 8.4 17.4 11.5%

East Brunswick Township 70.8 2.7 6.3 15.4 9.2%

Edison Township 85.5 2.2 8.5 17.6 14.4%

*Monroe Township Middlesex 96.8 0.0 6.3 5.1 11.6%

New Brunswick City 74.0 4.3 10.9 110.7 56.5%

North Brunswick Township 81.7 3.8 8.0 29.6 19.2%

Old Bridge Township 82.7 3.8 7.1 18.6 13.5%

Perth Amboy City 71.2 5.7 11.7 143.2 41.2%

Piscataway Township 79.8 4.7 9.3 22.1 11.5%

Sayreville Borough 81.1 3.4 10.0 24.1 17.3%

South Brunswick Township 87.8 2.3 6.0 15.8 10.8%

Woodbridge Township 80.9 2.7 8.1 27.1 13.3%

MIDDLESEX COUNTY (Balance) 75.9 4.3 12.3 34.5 16.3%

Freehold Township 68.8 4.5 16.7 22.6 11.2%

Howell Township 69.3 4.5 10.1 20.4 13.8%

Long Branch City 67.9 3.8 15.7 90.7 36.0%

Manalapan Township 65.5 1.1 7.4 7.4 11.5%

Marlboro Township 60.4 2.4 8.2 4.7 6.9%

Middletown Township 67.7 1.0 9.1 13.7 8.9%

MONMOUTH COUNTY (Balance) 76.7 4.4 12.6 53.4 18.9%


4-20

LOW




AREA 2007-2009 2007-2009 2007-2009 2007-2009 RATE

Parsippany-Troy Hills 90.7 3.2 6.4 8.6 11.1%

MORRIS COUNTY (Balance) 77.7 3.9 9.6 20.7 11.3%

Berkeley Township 62.7 7.5 10.0 45.2 24.8%

Brick Township 77.7 4.0 9.8 34.0 16.4%

Toms River Township 68.4 3.9 9.2 43.8 16.3%

Jackson Township 69.7 1.9 11.4 30.7 13.1%

Lakewood Township 45.8 2.9 5.9 35.0 54.4%

Manchester Township 86.7 6.2 13.8 52.6 23.7%

OCEAN COUNTY (Balance) 70.8 4.3 9.4 54.2 18.3%

Clifton City 77.3 5.6 10.0 51.8 23.1%

Passaic City 74.2 3.1 12.3 118.3 57.8%

Paterson City 100.5 6.4 14.0 144.2 52.4%

Wayne Township 90.8 0.8 9.2 10.8 9.1%

PASSAIC COUNTY (Balance) 78.9 2.7 7.1 28.6 14.3%

SALEM COUNTY (Total) 88.7 9.8 20.9 143.6 24.4%

Bridgewater Township 84.4 3.0 9.0 12.8 7.2%

Franklin Township 77.2 3.1 9.5 48.1 13.6%

Hillsborough Township 74.3 1.7 11.4 15.7 8.2%

SOMERSET COUNTY (Balance) 78.6 2.6 8.7 35.1 11.9%

SUSSEX COUNTY (Total) 73.1 4.6 10.3 31.8 13.6%

Elizabeth City 83.9 6.4 15.1 105.1 41.4%

Linden City 96.6 8.7 19.9 60.6 22.1%

Plainfield City 94.4 4.2 11.9 101.1 38.1%

Union Township 95.8 3.7 10.6 24.1 14.9%

*Westfield Town 59.0 3.3 5.4 4.4 6.7%

UNION COUNTY (Balance) 80.4 5.0 11.8 35.0 15.0%

WARREN COUNTY (Total) 75.6 7.2 11.8 41.9 17.7%


4-21

4.2 Estimated Eligible WIC Participants Methodology for FFY 2015

The estimated total number of woman and children in New Jersey eligible for WIC participation as of

January 1, 2014, was 207,111. Refer to Tables 6-8. This figure includes 166,139 children less than

5 years of age and 40,972 women. Estimates were made for 75 municipalities and 21 counties, or the

balance of counties in which municipalities were separately estimated. Municipalities with a

population of 30,000 or more according to the 2010 Census of Population were selected for

estimation.

These estimates were computed by the following procedures:

The number of children under 5 years of age equals the sum of the number of live

births for the years 2004-2009 minus the sum of the number of infant deaths for the

same years. This was done for each area shown in the table.

The estimated number of pregnant and postpartum women is the sum of the estimated

number of pregnant women, which is 75% of the live births in 2009, and the estimated

number of postpartum women, which is 50% of the number of live births and fetal

deaths in 2008.

The low-income rates in the Table 6 are derived from the percentage of all people in the area below

200% of the 2010 poverty level, based on the 2010 Census of Population. The estimated number of

WIC eligible children was calculated in two stages:

1. The number of children under 5 years of age was multiplied by the low-income

rate; and

2. The figure obtained in stage one was adjusted to the State total.

The adjustment factor was the ratio of the sum of eligibles over all areas in stage one to the State

total obtained by multiplying by 31%. For 2009, this ratio was 1.227301696. For example, the

estimated WIC eligible children for Atlantic City equal:

Stage 1: 3,948 x 0.544 = 2,149

Stage 2: 2,149 x 1.227301696 = 2,637

Similarly, the estimated WIC eligible women were also done in two stages:


4-22

1. The number of pregnant and postpartum women was multiplied by the low income

rate for all persons; and

2. The figure obtained in stage one was adjusted to the State total by multiplying by an

adjustment factor. For 2009, this ratio was 1.212169617.

The total number of WIC eligible women for Atlantic City equal:

Stage 1: 1,008 x 0.544 = 549

Stage 2: 549 x 1.212169617 = 665

The total number of WIC eligible women and children is the number of eligible children plus the

number of eligible women. In Atlantic City, for example: 2,637 + 665 = 3,302.

The estimated eligible infants were determined by taking the number of live births for the

year 2009 minus the number of infant deaths for 2009. The estimated eligible infants

were calculated in the same manner as was children and women. The two stages are:

1. The number of infants was multiplied by the low income rate for all persons; and

2. The figure obtained in stage one was adjusted to the State total by multiplying by an

adjustment factor.

The adjustment factor was the ratio of the sum of eligible infants over all areas from stage one to the

State total obtained by multiplying the State total estimate of infants by 31%. The ratio was

1.210501 in 2009.

For example, the estimated WIC eligible infants for Atlantic City equal:

Stage 1: 779 x 0.544 = 424

Stage 2: 424 x 1.210501 = 513

List of Tables:

Table 6 Estimated Number of Women, Infants and Children Eligible for WIC Services

Table 7 Pregnant and Post Partum Women

Table 8 Estimated Number of Women, Infants and Children by Agency


4-23

Table 6. Estimated Number of Women, Infants and Children Eligible for WIC Services

TOTAL

ESTIMATED 2010

CHILDREN ESTIMATED ESTIMATED PREGNANT & ESTIMATED ELIGIBLE 200%

UNDER 5 ELIGIBLE ELIGIBLE POSTPARTUM ELIGIBLE WOMEN & POVERTY

AREA

YEARS

OLD CHILDREN INFANTS WOMEN WOMEN CHILDREN RATE

Atlantic City 3,948 2,637 513 1,008 665 3,302 54.4%

Egg Harbor Township 2,660 611 120 662 150 761 18.7%

Galloway Township 1,859 436 88 484 112 548 19.1%

ATLANTIC COUNTY (Balance) 9,260 3,102 624 2,361 781 3,883 27.3%

Fair Lawn Borough 1,473 193 38 374 48 241 10.7%

Fort Lee Borough 1,474 344 64 354 82 426 19.0%

*Garfield City 2,049 798 147 497 191 989 31.7%

Hackensack City 3,236 1,103 232 852 287 1,390 27.8%

Teaneck Township 2,184 375 71 546 93 468 14.0%

BERGEN COUNTY (Balance) 34,425 5,738 1,096 8,409 1,384 7,122 13.6%

Evesham Township 2,372 267 46 557 62 329 9.2%

Mt. Laurel Township 2,087 242 47 522 60 302 9.4%

Willingboro Township 1,873 495 92 470 123 618 21.6%

BURLINGTON COUNTY

(Balance) 17,694 3,427 654 4,363 835 4,262 15.8%

Camden City 8,431 6,525 1,204 2,064 1,578 8,103 63.1%

Cherry Hill Township 3,070 430 80 737 102 532 11.4%

Gloucester Township 3,789 814 148 926 197 1,011 17.5%

Pennsauken Township 2,351 755 157 597 189 944 26.2%

Winslow Township 2,680 660 124 653 159 819 20.1%

CAMDEN COUNTY (Balance) 13,158 3,173 629 3,315 789 3,962 19.6%

CAPE MAY COUNTY (Total) 4,584 1,395 289 1,172 352 1,747 24.8%

Vineland City 4,394 1,612 298 1,090 395 2,007 29.9%

CUMBERLAND COUNTY

(Balance) 7,581 3,433 656 1,911 855 4,288 36.9%


4-24

TOTAL

ESTIMATED 2010



AREA

YEARS


Belleville Town 2,432 659 130 615 165 824 22.1%

Bloomfield Town 3,127 805 144 768 195 1,000 21.0%

East Orange City 5,052 2,509 476 1,252 614 3,123 40.5%

Irvington Town 4,979 2,243 421 1,227 546 2,789 36.7%

Montclair Town 1,706 312 54 394 71 383 14.9%

Newark City 23,265 13,961 2,679 5,837 3,460 17,421 48.9%

Orange City 2,825 1,415 286 733 363 1,778 40.8%

West Orange Township 3,033 661 127 750 162 823 17.8%

ESSEX COUNTY (Balance) 9,302 1,011 191 2,230 239 1,250 8.9%

*Deptford Township 1,656 360 62 384 82 442 17.7%

*Monroe Township Gloucester 2,035 459 91 504 112 571 18.4%

Washington Township 2,136 338 66 514 80 418 12.9%

GLOUCESTER COUNTY

(Balance) 9,257 2,166 445 2,352 544 2,710 19.1%

Bayonne City 3,569 1,185 245 924 303 1,488 27.1%

Hoboken City 2,452 627 145 681 172 799 20.8%

Jersey City 16,809 7,231 1,436 4,298 1,826 9,057 35.1%

Kearny Town 2,304 809 153 564 196 1,005 28.6%

North Bergen Township 3,782 1,489 280 931 362 1,851 32.1%

Union City 5,241 3,103 578 1,271 743 3,846 48.2%

West New York Town 3,647 2,078 425 949 534 2,612 46.4%

HUDSON COUNTY (Balance) 3,106 1,118 231 794 282 1,400 29.3%

HUNTERDON COUNTY (Total) 5,735 732 120 1,282 162 894 10.4%

Ewing Township 1,610 344 61 388 82 426 17.4%

Hamilton Township 4,644 955 191 1,174 238 1,193 16.8%

*Lawrence Township 1,777 309 54 423 73 382 14.2%

Trenton City 7,765 4,885 971 2,030 1,261 6,146 51.3%

MERCER COUNTY (Balance) 6,547 922 175 1,606 223 1,145 11.5%


4-25

TOTAL

ESTIMATED 2010



AREA

YEARS


East Brunswick Township 1,898 214 37 447 50 264 9.2%

Edison Township 6,751 1,192 229 1,685 294 1,486 14.4%

*Monroe Township Middlesex 1,321 188 35 316 44 232 11.6%

New Brunswick City 5,396 3,743 737 1,347 923 4,666 56.5%

North Brunswick Township 3,047 720 134 757 177 897 19.2%

Old Bridge Township 3,490 577 108 842 137 714 13.5%

Perth Amboy City 4,342 2,194 444 1,096 547 2,741 41.2%

Piscataway Township 3,425 485 94 862 121 606 11.5%

Sayreville Borough 2,917 620 120 741 156 776 17.3%

South Brunswick Township 2,310 307 50 521 68 375 10.8%

Woodbridge Township 6,139 1,005 195 1,530 247 1,252 13.3%

MIDDLESEX COUNTY (Balance) 10,451 2,094 403 2,584 511 2,605 16.3%

Freehold Township 1,515 208 36 346 47 255 11.2%

Howell Township 2,705 457 77 608 102 559 13.8%

Long Branch City 2,665 1,178 224 663 289 1,467 36.0%

Manalapan Township 1,559 219 42 390 54 273 11.5%

Marlboro Township 1,547 130 21 336 28 158 6.9%

Middletown Township 3,358 368 68 799 86 454 8.9%

MONMOUTH COUNTY (Balance) 20,757 4,814 896 4,979 1,141 5,955 18.9%

Parsippany-Troy Hills 3,132 427 84 775 104 531 11.1%

MORRIS COUNTY (Balance) 23,676 3,284 592 5,570 763 4,047 11.3%


4-26

Table 7: Pregnant and Postpartum Women

ESTIMATED ESTIMATED

ELIGIBLE ELIGIBLE

PREGNANT POSTPARTUM WOMEN

AREA WOMEN WOMEN TOTAL

Atlantic City 390 275 665

Egg Harbor Township 91 59 150

Galloway Township 66 46 112

ATLANTIC COUNTY (Balance) 471 310 781

Fair Lawn Borough 28 20 48

Fort Lee Borough 48 34 82

*Garfield City 110 81 191

Hackensack City 175 112 287

Teaneck Township 54 39 93

BERGEN COUNTY (Balance) 824 560 1,384

Evesham Township 35 27 62

Mt. Laurel Township 36 24 60

Willingboro Township 69 54 123

BURLINGTON COUNTY

(Balance) 492 343 835

Camden City 910 668 1,578

Cherry Hill Township 61 41 102

Gloucester Township 112 85 197

Pennsauken Township 119 70 189

Winslow Township 94 65 159

CAMDEN COUNTY (Balance) 474 315 789

CAPE MAY COUNTY (Total) 218 134 352

Vineland City 225 170 395

CUMBERLAND COUNTY

(Balance) 498 357 855

Belleville Town 98 67 165

Bloomfield Town 108 87 195

East Orange City 361 253 614

Irvington Town 319 227 546

Montclair Town 41 30 71

Newark City 2,030 1,430 3,460

Orange City 217 146 363

West Orange Township 95 67 162

ESSEX COUNTY (Balance) 143 96 239


4-27

ESTIMATED ESTIMATED

ELIGIBLE ELIGIBLE



*Deptford Township 46 36 82

*Monroe Township Gloucester 68 44 112

Washington Township 49 31 80

GLOUCESTER COUNTY

(Balance) 335 209 544

Bayonne City 184 119 303

Hoboken City 109 63 172

Jersey City 1,083 743 1,826

Kearny Town 116 80 196

North Bergen Township 210 152 362

Union City 435 308 743

West New York Town 319 215 534

HUDSON COUNTY (Balance) 173 109 282

HUNTERDON COUNTY (Total) 90 72 162

Ewing Township 46 36 82

Hamilton Township 144 94 238

*Lawrence Township 42 31 73

Trenton City 740 521 1,261

MERCER COUNTY (Balance) 131 92 223

East Brunswick Township 28 22 50

Edison Township 172 122 294

*Monroe Township Middlesex 26 18 44

New Brunswick City 553 370 923

North Brunswick Township 101 76 177

Old Bridge Township 81 56 137

Perth Amboy City 333 214 547

Piscataway Township 71 50 121

Sayreville Borough 91 65 156

South Brunswick Township 38 30 68

Woodbridge Township 147 100 247

MIDDLESEX COUNTY (Balance) 303 208 511

Freehold Township 27 20 47

Howell Township 58 44 102

Long Branch City 168 121 289

Manalapan Township 32 22 54

Marlboro Township 16 12 28

Middletown Township 50 36 86

MONMOUTH COUNTY (Balance) 674 467 1,141


4-28

ESTIMATED ESTIMATED

ELIGIBLE ELIGIBLE



Parsippany-Troy Hills 63 41 104

MORRIS COUNTY (Balance) 445 318 763

Berkeley Township 53 39 92

Brick Township 106 74 180

Toms River Township 133 91 224

Jackson Township 58 42 100

Lakewood Township 1,776 1,086 2,862

Manchester Township 39 33 72

OCEAN COUNTY (Balance) 285 203 488

Clifton City 230 155 385

Passaic City 757 519 1,276

Paterson City 1,295 896 2,191

Wayne Township 34 24 58

PASSAIC COUNTY (Balance) 201 139 340

SALEM COUNTY (Total) 132 92 224

Bridgewater Township 26 20 46

Franklin Township 117 81 198

Hillsborough Township 30 21 51

SOMERSET COUNTY (Balance) 209 145 354

SUSSEX COUNTY (Total) 166 124 290

Elizabeth City 793 556 1,349

Linden City 90 62 152

Plainfield City 336 220 556

Union Township 87 54 141

*Westfield Town 19 12 31

UNION COUNTY (Balance) 357 250 607

WARREN COUNTY (Total) 132 105 237

24,270 16,702 40,972


4-29

Table 8: Estimated Number of Women, Infants and Children by Agency

TOTAL

ESTIMATED ESTIMATED

ESTIMATED

CHILDREN ESTIMATED ESTIMATED ESTIMATED PREGNANT & ELIGIBLE ELIGIBLE ESTIMATED ELIGIBLE

UNDER 5 ELIGIBLE ELIGIBLE ELIGIBLE POSTPARTUM PREGNANT POSTPARTUM ELIGIBLE WOMEN &

LOCAL

AGENCY

YEARS

OLD CHILDREN INFANTS CHILDREN WOMEN WOMEN WOMEN WOMEN CHILDREN

ATLANTIC

CITY 16,792 5,146 1,272 6,418 4,277 963 652 1,615 8,033

BURLINGTON 23,298 3,483 814 4,297 5,733 613 434 1,047 5,344

TRI-COUNTY 54,981 16,269 3,839 20,108 13,690 2,903 2,035 4,938 25,046

EAST ORANGE 15,457 5,289 1,251 6,540 3,830 946 667 1,613 8,153

GLOUCESTER 14,890 2,755 683 3,438 3,704 513 333 846 4,284

JERSEY CITY 20,259 7,017 1,733 8,750 5,164 1,304 887 2,191 10,941

VNACJ 88,649 16,952 3,988 20,940 21,571 2,997 2,074 5,071 26,011

NEWARK 29,778 10,048 2,379 12,427 7,381 1,800 1,265 3,065 15,492

NORTH

HUDSON 25,028 7,714 1,899 9,613 6,320 1,429 973 2,402 12,015

NORWESCAP 32,523 4,326 909 5,235 7,512 684 507 1,191 6,426

PLAINFIELD 14,631 3,358 802 4,160 3,608 604 415 1,019 5,179

ST. JOSEPH'S 87,943 18,165 4,275 22,440 21,390 3,217 2,221 5,438 27,878

CHS 22,343 5,963 1,452 7,415 5,621 1,103 774 1,877 9,292

RUTGERS

NJMS 12,648 4,328 1,023 5,351 3,134 775 545 1,320 6,671

OCEAN 38,429 12,188 3,257 15,445 9,767 2,450 1,568 4,018 19,463

PASSAIC 15,361 5,047 1,199 6,246 3,779 903 621 1,524 7,770

TRINITAS 22,921 5,903 1,413 7,316 5,682 1,066 731 1,797 9,113

TOTAL 535,931 133,951 32,188 166,139 132,163 24,270 16,702 40,972 207,111


4-30

4.3 Disclaimers and Notes for FFY 2015 WIC Affirmative Action Plan

The Data Source for the 2015 WIC Affirmative Action Plan was the New Jersey Department of

Health Birth and Death Certificate files. This data is provisional and should be used for planning

purposes only.

The data is based on the recording of the residence of the mother at the time of birth as understood

and reported by the mother or other informant. Sometimes the coding of the residence information is

limited by confusion between a temporary mailing address used around the time of birth and the

permanent residence of the mother or informant. More seriously in New Jersey, the municipalities

where people live may differ from the cities listed as their mailing address. Births are for New Jersey

residents only.

A fetal death is defined as a death occurring before the complete expulsion or extraction from its

mother. Fetal deaths occurring after the completion of 20 or more weeks of gestation are included in

the fetal death count. Induced abortions are not included in the fetal death count. Deaths are to New

Jersey residents only and population is by 2010 census.


4-31

4.4 New Jersey WIC Services FY 2013 Health Data

Since 1988, the Food and Nutrition Services has produced biennial reports on participant and

program characteristics. They are known as the WIC Participant and Program Characteristics (PC)

study series.

The current system for reporting participant data is based on the automated transfer of an agreed-

upon set of data elements. State WIC agencies download routinely collected information from their

existing automated client and management information systems. State and local WIC staff use these

data to certify applicant eligibility for WIC benefits and to issue food vouchers and checks. This set

of 20 agreed-upon items is called the Minimum Data Set (MDS) and was developed by FNS working

with the Information Committee of the National WIC Association (formerly the National Association

of WIC Directors) and the Centers for Disease Control and Prevention (CDC).

For the most recent biennial WIC PC report, the PC 2012 report, 90 State WIC agencies submitted

MDS data on a census of WIC participants. For effective administration and oversight of WIC

program nationwide, the United States Department of Agriculture regionalized all the participating

states, territories and Virgin Islands into five regions. New Jersey WIC is in the Mid-Atlantic region.

The Mid Atlantic region includes Delaware, District of Columbia, Maryland, New Jersey,

Pennsylvania, Virginia, Virgin Islands and West Virginia.

Risk Factors

The PC 2012 report includes data on risk factors by States and by region. This section will compare

New Jersey-specific data with average Mid-Atlantic region data. As part of the WIC certification

process, all WIC applicants are assessed for risk factors. Risk factors are conditions that are detected

by a combination of hematological, anthropometric and nutrition assessments. The risk assessment is

used to detect nutrition-related conditions that could indicate signs of dietary deficiencies, excesses

and inadequacies that predispose an individual to poor nutrition and health status. In WIC, the risk

factors include measureable and circumstantial factors associated with poor nutrition and health

status.


4-32

Maternal Risk Factors

Among the women enrollees, the risk factors, if not addressed, could contribute to poor pregnancy

outcomes. In Calendar Year (CY) 2012, the PC 2012 provided data on risk factors of for pre-

pregnancy high weight for height, and mean gestational weight gain.

Pre-pregnancy High Weight for Height

In CY 2012, 54.3% of New Jersey WIC women enrollees, compared to 51.7% regionally, had a high

weight for height that met the Institute of Medicine (IOM) criteria for overweight and obese (1). New

Jersey rate of pre-pregnancy high weight for height is higher than the regional rate, and ranks 3rd in

the region. Based on the IOM criteria, a woman with 25 or above BMI before pregnancy is

considered overweight or obese. Pre-pregnancy high weight for height status is based on self-

reported weight and height before pregnancy. In WIC, the pre-pregnancy body weight status is

calculated using the self-reported height and weight converted to a ratio known as Body Mass Index

(BMI). BMI is calculated as weight (kg) divided by height (m2). Pre-pregnancy weight status affects

maternal health and is a determinant of infant birth-weight. Risks such as preeclampsia, gestational

diabetes, cesarean delivery, and failure to initiate breastfeeding are associated with being overweight

before pregnancy (2). The highest risk of stillbirth is associated with women who are overweight

compared to women with normal weight who have the lowest risk (3).

Gestational Weight Gain

In CY 2012, 97% of New Jersey women enrollees gained an average of 30 lbs, compared to 81%

regionally gained up to 28 pounds during pregnancy, not considering the pre-pregnancy BMI status

Weight gain among New Jersey women enrollees ranked fourth in the region. Weight gain during

pregnancy is used to assess and estimate fetal growth and estimate birth weight. Infant birth weight

contributes to infant morbidity and mortality. Women who had a low weight gain during pregnancy

are at increased risk of delivering infants with low birth weight (LBW). In recognition that

gestational weight gain is a strong predictor of birth weight, the IOM established guidelines for

gestation weight gain in reference to pre-pregnancy BMI status. The IOM established guidelines for

gestation weight gain in reference to pre-pregnancy BMI status ranged from 11 pounds to 40 pounds

(4).

Infant Risk Factors


4-33

In CY 2012, the prevalent risk factors as shown in the PC2012 for WIC infants were low birth weight

and high birth weight. Birth weight is a good indicator to evaluate prenatal and postnatal

development, which also has important short and long term implications on health and survival.

Low Birth Weight

In CY 2012, 7.1% of New Jersey infant enrollees, compared to 8.8% regional, met the criteria to be

classified as a low birth weight infant. Low birth weight (LBW) is defined as birth weight of less

than 2,500 grams or 5.5 pounds. Factors contributing to low birth weight have been identified and

include maternal risk factors, chromosomal abnormalities, congenital anomalies, infections during

pregnancy and premature birth. The maternal risk factors contributing to LBW include multiple

pregnancies, previous delivery of low birth-weight infants, poor nutrition, heart disease or

hypertension, smoking, drug addiction, alcohol abuse, and inadequate prenatal care. Low birth

weight is a contributory factor of neonatal mortality and post-neonatal mortality. Infants with low

birth weight who survive are at increased risk for health problems ranging from neurologic

developmental disorders/disabilities to conditions of the lower respiratory tract conditions (5).

Large for Gestational Age

In CY 2012, 6.2% of New Jersey infant enrollees, compared to 5.6% regional, had birth weight

considered to be large for gestational age. New Jersey’s rate of high birth weight (HBW) ranked

second in the region. HBW is defined as birth weight greater than 4,000 grams or 9 pounds, or

exceeds the 90th percentile on the growth chart at any given gestational age. HBW significantly

increases the risk of injuries such as shoulder dystocia during vaginal delivery, nerve injury,

fractures, asphyxia, death during birth/infancy, childhood obesity, and medical complications.

Infants with HBW are also at increased risk for Type I and II diabetes, obesity, lower respiratory tract

conditions, hypertension and future cardiovascular difficulties compared to normal birth weight

infants (7). Maternal factors such as metabolic or genetic problems related to carbohydrate

intolerance during pregnancy, insulin-dependent diabetes; gestational diabetes and maternal obesity

are implicated as contributory factors to high birth weight.

Risk Factor for Children


4-34

Short Stature

In CY 2012, 4.1% of New Jersey children enrollees, compared to 4.9%. regional, met the standard

for short stature. The rate of short stature among the New Jersey WIC children was the lowest and

below the regional rate. In PC2012 short stature was defined as height for age on the growth chart at

or below the 5th percentile. The causes or contributory factors to short stature are not well

documented therefore it is not well known whether short stature is genetics or completely a medical

disorder (6).

References 1. Institute of Medicine. Weight Gain During Pregnancy: Reexamining the Guidelines. Washington, D.C: National

Academies Press; 2009

2. Doherty DA, Magaan EF, Francis J, Morrison JC, Newnham JP. Pre-pregnancy body mass index and pregnancy outcomes. International Journal of Gynecology & Obstetrics 2006; 95(30):242-247.

3. Kristensen J, Vestergaard M, Wisborg K, Kesmodel U, Secher NJ. Pre-pregnancy weight and the risk of

stillbirth and neonatal death. British J Of Gynecology. 2005,112(4):403-8.

4. Institute of Medicine (United States) Subcommittee on Nutritional Status and Weight Gain During

Pregnancy.(1990) Historical trends in clinical practice, maternal nutritional status, and the course of and

outcome of pregnancy. In: Nutrition During Pregnancy, pp. 37–62. National Academy Press, Washington DC.

5. Alexander, G.R., Kotelchuck, M. (2001). Assessing the role and effectiveness of prenatal care: history,

challenges, and directions for future research. Public Health Reports, 116(4). 306‐16.

6. Wit JM, Reiter EO, Ross JL, Saenger PH, Savage MO, Rogol AD, Cohen P Idiopathic short stature:

management and growth hormone treatment Growth Hormone & IGF Research 2008 18:111–135

7. Campaigne AL, Conway DL. Detection and prevention of macrosomia. Obstet Gynecol Clin North Am. 2007 Jun;34(2):309-22,

8. Institute of Medicine. WIC Nutrition Risk Criteria: A Scientific Assessment. Washington,DC: National

Academy Press, 1996.


4-35

4.5 New Jersey WIC Services FY 2013 Breastfeeding Data

4.5.1 Infants/Children and Breastfeeding

Breastfeeding and human milk are the reference normative standards for infant feeding and nutrition.

The American Academy of Pediatrics (AAP) recommends exclusive breastfeeding for the first six

months, followed by continued breastfeeding as complementary foods are introduced, with

continuation of breastfeeding for one year or longer as mutually desired by mother and infant.

Breastfeeding has a protective effect against many conditions including otitis media, upper and lower

respiratory tract infections, asthma, respiratory syncytial virus bronchiolitis, necrotizing enterocolitis,

atopic dermatitis, gastroenteritis, inflammatory bowel disease, obesity, celiac disease, type 1 and type

2 diabetes, leukemia, and sudden infant death syndrome. The protective effects increase as the

exclusivity and duration of breastfeeding increase.1

Improving the health and well-being of women, infants and children is a Healthy People 2020 goal

for the United States. An Infant Care objective in Healthy People 2020 (MICH-21) is to increase the

proportion of children ever breastfed with the following targets:

Ever breastfed, 81.9%

Breastfed at 6 months, to 60.6%

Breastfed at 1 year to 34.1%

Breastfed exclusively through 3 months, 46.2%

Breastfed exclusively through 6 months, 25.5% 2

In FFY 2013, the monthly average percent of infant feeding among New Jersey WIC infants was as

follows:

6.5% were exclusively breastfed 0-5 month old infants

5.1% were exclusively breastfed 6-11 month old infants

0.8% were 0-1 month old partially breastfed infants

5.0% were 1-3 months old partially breastfed infants


1 Section on Breastfeeding. Breastfeeding and the Use of Human Milk. Pediatrics 2012;129;e827. Available at

http://pediatrics.aappublications.org/content/129/3/e827.full.pdf+html?sid=309466db-bdf0-4094-93b0-6075245ea4c3. Accessed April 3, 2013.

2 U.S. Department of Health and Human Services. Healthy People 2020. Washington, D.C. Available at

http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=26. Accessed April 3, 2013.

http://pediatrics.aappublications.org/content/129/3/e827.full.pdf+html?sid=309466db-bdf0-4094-93b0-6075245ea4c3


http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=26


4-36


8.2.6% were 0-5 months old minimally breastfed infants

6.8% were 6-11 months old minimally breastfed infants

25.3% were 0-5 months old were not breastfed

34.2% were 6-11 months old not breastfed

When 0-5 month old infants are examined alone, 13.3% were exclusively breastfed; 17.5% were

partially breastfed; 16.9% were minimally breastfed; and 52.3% were not breastfed.

Of the New Jersey WIC mothers who initiated breastfeeding and stopped in the first two years,

10.8% stopped breastfeeding before the infant was four days old and another 6.1% stopped between

4 and 7 days after delivery. The most common reasons documented for why breastfeeding stopped in

the first week are “infant refused breast/prefers bottle” and “not enough milk, milk not good

enough.”3 The practices in delivery hospitals and the information provided by healthcare providers

are major influences on early breastfeeding outcomes.

4.5.2 Postpartum Women and Breastfeeding

There are short- and long-term health benefits to mothers who breastfeed including decreased

postpartum blood loss and more rapid involution of the uterus; a reduced risk of type 2 diabetes

mellitus in mothers who never had gestational diabetes; a reduction in breast and ovarian cancer

rheumatoid arthritis, hypertension, hyperlipidemia, and cardiovascular disease correlated with

duration of breastfeeding; and a lower rate of child abuse by breastfeeding mothers. Early cessation

of breastfeeding or not breastfeeding is associated with an increased risk of maternal postpartum

depression.4

In FY 2013, 56.7% of all postpartum New Jersey WIC mothers breastfed their infants, compared

with 57.5% in FY 2012. This includes breastfeeding women up to one year and non-breastfeeding

3 New Jersey WIC Services. Age and Reason Breastfeeding Stopped – Breastfeeding Discontinuation Report, Semi Annual Ending 09/30/2013. 4 Section on Breastfeeding. Breastfeeding and the Use of Human Milk. Pediatrics 2012;129;e827. Available at http://pediatrics.aappublications.org/content/129/3/e827.full.pdf+html?sid=309466db-bdf0-4094-93b0-6075245ea4c3. Accessed April 3, 2013.



4-37

women up to six months postpartum (Table 4.5 A).5 When only women up to six months postpartum

are compared, 50.9% were breastfeeding and 49.1% were non-breastfeeding.6

Table 4.5 A

Two additional Healthy People 2020 objectives (MICH-22 and 23) related to breastfeeding are to

increase the proportion of employers that have worksite lactation support programs to 38% and to

reduce the proportion of breastfed newborns who receive formula supplementation within the first 2

days of life to 14.2%.7 In New Jersey, 35.4% of breastfed infants receive formula before 2 days of

age, the worst rate in the nation.8 National socio-demographic factors show that women least likely to

breastfeed are Black or African-American, less than 20 years of age, a high school graduate, not

married, and living below the poverty threshold.9

5 New Jersey WIC Services. Management Information Summary Reports, October 2010 – September 2013. -6 New Jersey WIC Services. Report on Postpartum Women, Semi Annual Report Ending 09/30/2013. 7 U.S. Department of Health and Human Services. Healthy People 2020. Washington, D.C. Available at

http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=26. Accessed April 9, 2014. 8 Centers for Disease Control and Prevention. Breastfeeding Report Card – United States, 2013. Available at http://www.cdc.gov/breastfeeding/data/reportcard.htm Accessed April 9 2014. 9 Centers for Disease Control and Prevention. Tables and Maps. Available at http://www.cdc.gov/breastfeeding/data/nis_data/index.htm Accessed April 9, 2014.

2009 2010 2011 2012 2013

Breastfeeding 56.6% 54.2% 55.3% 57.5% 56.7%

Non-BF 43.4% 45.8% 44.7% 42.5% 43.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

Percent of Postpartum Women Who Participate as Breastfeeding and Non-breastfeeding, FFY 2009-2013

New Jersey WIC Services

http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=26

http://www.cdc.gov/breastfeeding/data/reportcard.htm

http://www.cdc.gov/breastfeeding/data/nis_data/index.htm%20Accessed%20April%209


5-1

5.0 MILESTONES - SIGNIFICANT INITIATIVES FOR FFY 2014

5.1 Office of the Director 5.1.1 Collaborations

WIC Services participated in two of the four planning workgroups of the New Jersey Chronic

Disease Advisory Council (CDAC). The CDAC consists of selected representatives from

government, nonprofit organizations, private health organizations, commercial organizations and

universities. The purpose of the CDAC is to develop, through collaboration, effective chronic

disease prevention strategies. The expected outcome of the CDAC is to develop a State Plan that will

facilitate the promotion, adoption and use of preventive services/lifestyles that will lead to

prevention, better treatment and reduction of the costs of chronic diseases. The four planning

workgroups are in the following areas: evidence-based practices and environmental approaches;

health systems change; community-clinical linkages; and, surveillance and epidemiology.

WIC Services is a partner with the Department of Children and Families on their CDC Sudden

Unexpected Infant Death (SUID) grant. The purpose is to discover points of opportunity for current

SUID and breastfeeding programs to collaborate and discuss how to best merge the breastfeeding and

safe sleep messages.

The Department of Health received CDC funds to expand hospital engagement in activities related to

achieving Baby-Friendly™ designation. WIC is participating on an Advisory Panel that will help to

guide the selection process of the hospitals that will have access to technical support as they travel

the 4 D Pathway to Baby-Friendly™ Designation.

5.1.2 Farmers’ Market Collaboration Meetings

The NJ Farmers’ Market Nutrition Program (FMNP) had one regional meeting with Senior

Coordinators. Suggestions discussed at the meeting were incorporated into the FMNP operations as

appropriate.


5-2

5.2 Health and Ancillary Services

Significant program initiatives for the Health and Ancillary Services Unit for FFY 2013 included

continued follow-up training on Value Enhanced Nutrition Assessment (VENA) and incorporating

Using Loving Support to GROW and GLOW in WIC: Breastfeeding Training for Local WIC Staff;

referrals to healthcare providers; conducting nutrition and breastfeeding services trainings,

conducting a statewide movie screen outreach; breastfeeding services orientation, technical

assistance training, and publishing four quarterly issues of the MARWIC Times.

5.2.1 Breastfeeding Peer Counseling

Breastfeeding promotion and support services were provided according to the Loving Support©

Model for a Successful Peer Counseling Program. New Jersey’s share of the FFY 2013 Breastfeeding

Peer Counseling funds was placed in the FFY 2014 grants for the local agencies and MCH consortia.

These funds, which are additional to the breastfeeding target funds, allowed agencies to increase staff

hours and the number of breastfeeding staff.

5.2.2 Nutrition and Breastfeeding Training, Technical Assistance, and Staff Development

Instead of having one Nutrition Services meeting in October 2013, the SA planned a statewide

meeting. On Monday, October 21, 2013, all local and SA New Jersey WIC Staff joined together for

the second annual meeting. Over 400 staff were in attendance at the Hilton New Brunswick, New

Jersey. The theme of the meeting was: NJ WIC Welcoming, Insightful and Creative

The objectives of the meeting were:

Raise awareness of our own culture and its effect on the workplace.

Have insights to create a welcoming environment for all participants as well as staff.

Encourage creativity for all throughout the workplace, from front desk through counseling,

nutrition/breastfeeding education to serve a diverse population.

Inspire creativity to provide excellent services with decreasing funds using new ideas and

technology.

. “The opening session began with a welcome from the New Jersey Division of Family Services

Assistant Commissioner, Gloria Rodriguez and New Jersey WIC Director, Mary Mickles. The opening

keynote titled, “Embracing Our Diversity” was delivered by Jose Reyes, Ed.D, LPC. Dr. Reyes made the

audience aware of how our staff diversity provides us the opportunity to expand the richness of our

organization. His presentation highlighted the benefits of integrating diversity into our work.


5-3

WIC Staff were able to choose from one of the following breakout sessions: breastfeeding, nutrition,

valuing diversity or program integrity .There was also a networking activity that provided an opportunity

for staff to meet each other from the local agencies throughout the state. The closing keynote, titled,

“What Else is WIC Doing”, was given by Cathy Breedon. Ms. Breedon closed out the day with a history

of WIC nutritional recommendations and a laundry list of positive outcomes from the WIC program. She

provided down to earth information about nutrition that was useful to all the staff.

State nutrition services staff continued to model VENA by utilizing facilitated group discussion

during chief nutritionists’ and breastfeeding managers’ meetings. State and local agencies continued

to use the monitoring tools, that include VENA evaluation questions (client-centered) related to clinic

environment, customer service, counseling and nutrition education.

The State agency held a joint Breastfeeding Manager and Chief Nutritionist Meeting in March 2014.

Two speakers: Roberta Cricco-Lizza presented “Infant Feeding Beliefs and Experiences of Black

Women Enrolled in WIC” and Thomas Farrell of the Department of Children and Families presented

“An Overview of the Division of Child Protection and Permanency”, which addressed recognizing

and reporting child abuse.

The State Office offered eight regional half day trainings. These trainings were allowed many staff

to attend and reduce the need to close clinics. The NS meetings were held in May and June 2014,

the topic was “Infant Feeding Beliefs and Experiences of Black Women Enrolled in WIC”.

5.2.3 Web Based Nutrition Education for WIC Participants (NJWIConline.org)

Online secondary nutrition education is easily accessible through NJWIConline.org and at each local

agency through the use of kiosks. In FY 2014, a breastfeeding module and being active (physical

activity) module were created and added to the list of topics. This website offers an efficient and cost

effective option to both the NJ WIC Program local agencies and participants to satisfy the secondary

nutrition education USDA requirement. Previously, there were no breastfeeding alternatives to in-

person education.

5.2.4 Bloodwork Training

The New Jersey State WIC Program provided a Blood-borne Pathogen Training of “Train the

Trainer” to local agency staff in May 2010. The “Train the Trainer” program included the review and


5-4

distribution of a power point presentation and reference materials on the blood borne pathogens

standards. This training provided all the necessary information and resources for the local agencies to

provide blood borne pathogen training. All local agencies “trainers” are responsible for returning to

their agencies and ensuring that a federally mandated annual blood borne pathogen training is

provided to all staff that conducts blood work screening. Local agencies must maintain their annual

blood work training information in their training file which is reviewed by State staff during the

agency’s biennial on-site audit for compliance.

5.2.5 Outreach Initiative

NJ WIC Services formed an Ad Hoc WIC Outreach Subcommittee, which comprised of

representatives from the State WIC office, WIC Advisory Council and local WIC agencies. This

group was responsible in providing major input in the selection of a new WIC logo/tagline for

New Jersey, and also recommended that the annual State WIC Outreach focus on doing more

outreach by partnering with the WIC-authorized vendors.

The new WIC logo/tagline selected was NJ WIC: Every Child Deserves a Healthy Start. The NJ

WIC website and the Check WIC Out brochure has been updated with the new logo/tagline, and

it was incorporated in the annual State WIC Outreach Campaign.

Over 900+ WIC-Authorized Vendors participated in New Jersey’s State WIC Outreach

Campaign, which began November 1, 2013 and ran until January 31, 2014. Each WIC-

Authorized vendor was given outreach materials in English and Spanish: large and small posters,

fliers and tear-off pads. The fliers could be used as grocery bag stuffers or taped below the debit

machine at each cash register. The tear-off pads could be affixed onto the bottom of a poster,

available by the cash register, or affixed on a community board.


5-5

5.3 Food Delivery and Vendor Management

5.3.1 Vendor Cost Containment

New Jersey WIC Services has a Memorandum of Agreement between New Jersey Department of

Health and the New Jersey Division of Taxation. The purpose of this Agreement is to share and

verify tax information on vendors that may be above-50-percent vendors. The MOA has been a valid

and valuable document in determining the status of vendors that are designated as above-50-percent

vendors.

5.3.2 Banking Services Contract

The banking contract with Solutran was extended for an additional year.

5.3.3 Vendor Application Process

New Jersey WIC Services - Food Deliver Services/ Vendor Management unit is responsible for

activities that are associated with selecting, authorizing, training, monitoring and investigating the

authorized WIC retail vendor population.

Federal Regulation mandates a limited number and appropriate distribution of WIC retail stores in

order to ensure the lowest practicable food prices consistent with adequate participant access to

supplemental foods and to ensure effective State agency management, oversight, and review of its

authorized vendors. As required by Federal Regulations, New Jersey WIC Services has a vendor

peer group system. The retail peer group types are chain, large independent, small, pharmacy, and

commissary. The peer groups are assigned based on the amount of registers in the store.

There are approximately 951 currently authorized retail food stores with a three year contract. The

current agreement began October 1, 2012 and ends September 30, 2015. Six months following

authorization each vendor is revisted to ensure compliance with Federal regulations and State

policies and procedures.


5-6

5.4 WIC Information Technology Systems

5.4.1 Field Support Services

Local Agency hardware maintenance, repair and replacement, operating system, Local Area

Networks (LAN) administration and application troubleshooting support for all Local Agencies are

handled by State office field support staff on an as required basis. All hardware and some software

related calls reported through the contractor’s help desk are forwarded to the State Field Support

Service staff. The field support staff is responsible for the physical installation, maintenance, repair

and administration of the PCs, printers and networks utilized with WIC ACCESS. Field support staff

has responded to over 680 on site maintenance calls and provides daily telephone support as

appropriate.

5.4.2 Ad-Hoc Reporting

Crystal Reports is an ad-hoc reporting tool that is being used to create management reports that had

not been previously available or to address new requirements and temporary needs. State staff

provided development support for the generation of Crystal Reports upon request and responded to

approximately 60 requests for data/reports. Popular report programs have been distributed to Local

Agencies that have the ability generate their own.

5.4.3 WIC ACCESS Operating System

WIC ACCESS version 4.13.3 was implemented statewide and included an advanced formula report

and risk detail guide. An additional security feature was also introduced. The entire Magnetic Ink

Character Recognition (MICR) line is now being printed, replacing the method that included check

stock with preprinted routing number.

5.4.4 WIC ACCESS Disaster Recovery Backup Site

New Jersey WIC has completed the creation of a stand-alone backup facility near the Central

Processing Site (CPS) in Latham, NY. The hardware in the CPS is duplicated in an alternative site

and, in the case of an emergency, can be loaded rapidly with the backups from the CPS to get the

system operational in a matter of hours. The system has been rigorously tested and is on standby.

5.4.5 Data Warehousing

NJ WIC MIS discontinued the use of Data Warehousing. The process was replaced with a high-speed

remote access to Administrative sites, providing state employees a more complete data set.


5-7

5.4.6 Systems Lifecycle

WIC’s Automated Client Centered Electronic Service System (ACCESS) is approaching the end of

its useful product lifecycle. A final contract for operations and maintenance of the system has been

awarded to the incumbent, Currier, McCabe and Associates (CMA) and a contract for the

implementation of Maryland’s web based system was also awarded to CMA.

5.4.7 Electronic Benefit Transfer (EBT)

New Jersey WIC Services engaged a planning contractor to develop planning documents for

submission to USDA to initiate a conversion to EBT by the mandated date of 2020. These documents

include an alternatives analysis, Implementation Advanced Planning Document (IAPD) and a

Request for Proposal (RFP).

5.4.8 Continued Operation of WIC ACCESS

The State of New Jersey awarded a new three-year contract for the operation and maintenance of

WIC ACCESS. This engagement will ensure certification and benefit delivery will continue

seamlessly and a new web based system is under development and implementation.

5.4.9 New System

New Jersey WIC issued contract for the modification and implementation of Maryland’s web based

Electronic Data Processing system.


5-8

5.5 Monitoring and Evaluation

5.5.1 Infant Formula Rebate

The Infant Formula Rebate Contract with Mead Johnson is providing $34M that will serve 454,731

WIC participants.

The Mead Johnson contract is effective until September 30, 2015.

5.5.2 WIC Administrative Funding Formula

The preliminary FFY 2014 funding was based on the guaranteed FFY 2013 base. Using USDA’s

funding formula which guarantees the annual base funding from one year to the next, the

recommended FFY 2013 base with a ten percent inflation factor was the preliminary grant award to

the grantees for FFY 2014. Adjustments will be made as more funds become available.

5.5.3 Infant Cereal and Juice Rebate

The Infant Cereal Rebate which New Jersey entered into a consortia of MARO states with Gerber

went into effect August 1, 2012 for a period of three years. This rebate is estimated to provide

$600,000 per year.


6-1

6.0 STRATEGIES

6.1 Client Services through Technology and Collaboration of Services

6.1.1 WIC ACCESS

Currier, McCabe, and Associates (CMA) will continue to provide operation and maintenance of WIC

ACCESS in for FFY 2015.

6.1.2 Replacement system

In 2015, a Quality Assurance contractor will continue to work with the CMA to ensure specifications

in the Request for Proposal are met.

6.1.3 Peer Group Enhancement

The current vendor system will be modified to identify distinct peer groups by geographic location in

accordance with USDA criteria.

6.1.4 eWIC (Formerly WIC EBT)

WIC has retained the services of an established eWIC Project manager to produce the planning

documents for submission to the USDA for approval. For Federal Fiscal Year 2015, WIC anticipates

receiving the final approval from FNS for the Implementation Advance Planning Document (IAPD).

Once an eWIC system is selected, New Jersey WIC will then develop a Request For Proposal (RFP)

for an eWIC implementer by the end of FFY 2015.

The Monitoring and Evaluation Unit will continue to collaborate with MIS to effectively gather,

process, and disseminate data to monitor caseload and food funds.


6-2

6.2 Quality Nutrition Services

6.2.1 Staff Development

The State Office is developing training based on the needs of the Local Agencies, USDA guidelines,

Altarum recommendations and staff surveys. The State continues to model and incorporate VENA

and Grow and Glow in all trainings. The state strategies to achieve the above include:

The Statewide Annual Conference will take place on October 27, 2014 at the Hilton in New

Brunswick, NJ. All State and Local Agency staff will attend. The theme is the 40th

Anniversary of WIC.

New staff orientation is in the process of being developed at the State level for all Local

Agency staff.

Refresher/review course for current staff emphasizing participant-centered services will be

drawn from the new staff orientation.

UC Davis will be conducting Baby Behavior trainings for staff throughout the state. There

will be general sessions for all staff and a train the trainer for interested staff to continue the

program and training.

6.2.2 Breastfeeding Promotion and Support Services

Local WIC agencies conduct their peer counseling programs according to Loving Support© Through

Peer Counseling: A Journey Together. Breastfeeding staff is present at all administrative sites and

most satellite sites. They are part of the clinic flow, briefly meeting pregnant women during initial

certification, and offering support and information during newborn certifications. Facilitated group or

individual breastfeeding education is available so women can make informed infant feeding

decisions. Support services are available for breastfeeding women to help them meet their

breastfeeding goals. Peer counselors meet with new mothers at initial infant certification, check

pick-up, and package change appointments. They telephone pregnant and breastfeeding mothers to

offer support and information and are available outside normal hours to receive telephone calls from

WIC mothers. They refer questions or problems beyond their expertise to International Board

Certified Lactation Consultants. Breastfeeding literature and aids are available for pregnant and

breastfeeding women. Peer counselors make contact with pregnant women monthly and every one to

two weeks when women are in their ninth month of pregnancy, with new mothers every two to three

days in the first week, once a week during the rest of the first month, once a month for the remainder

of the first year, and before she returns to work or school. Home visits are made when necessary and


6-3

rounds are made at many hospitals. Breastfeeding staff coordinates with community groups and

health care providers so that WIC women will receive consistent messages about breastfeeding.

Breastfeeding managers and WIC coordinators collaborate with other organizations, such as

hospitals, prenatal clinics and other community organizations to strengthen support for breastfeeding

families.

Breastfeeding peer counselors are paraprofessionals who come from the communities and speak the

same language as WIC participants. After satisfactorily completing the breastfeeding peer counselor

training, they are mentored by experienced breastfeeding staff.

In FFY 2015, there will be continued emphasis on promoting exclusive breastfeeding in the first six

months of life and continued breastfeeding for as long as mother and infant desire. WIC staff will

target breastfeeding messages relevant to a woman’s stage of change. Individual barriers to

breastfeeding will be addressed using the 3-Step counseling method and VENA techniques. WIC

food packages and materials, staff attitudes and clinic environment reflect the importance of

exclusive breastfeeding.

6.2.3 Promote Physical Activity in Conjunction with Nutrition Education

Local agencies will be encouraged to continue to promote the importance of physical activity by

incorporating positive physical activity messages into all nutrition counseling. Recommended

strategies will include providing educational materials that stress the importance of physical activity,

having physical activity displays or posters visible, and arranging for physical activity experts to

provide activities and demonstrations targeted for WIC participants. The local WIC staff will also

focus on educational strategies that will assist WIC participants to increase the consumption of fruits

and vegetables and making healthier food choices.

6.2.4 Web-Based Nutrition Education for WIC Participants (NJWIConline.org)

In Fiscal Year 2015, New Jersey WIC Services plans to develop additional lesson topics for

NJWIConline.org, the internet website. The expansion of topics will widen the appeal of, improve

interest in, and increase revisit rates to the website. Since New Jersey launched this site in November

2009, several other State WIC Programs have adopted it for use as an option for secondary nutrition

education. Staff have started drafting the content for Healthy Eating for your Child.


6-4

The State agency shall consider adopting the Virginia WIC web-based nutrition education Health

Bites to provide WIC participants with even more choices to meet their needs.


6-5

6.3 Vendor Cost Containment

In FY 2015, retail vendors shall submit their Commodity Price List Survey’s (CPL’s) online via a

web-based application. This will reduce staff man hours needed for manual data entry and help

the State Agency (SA) move toward a paperless system. Additionally it will allow the SA to

more accurately evaluate the average prices across peer group assignments.

6.3.1 Vendor Selection

The SA will continue to explore the use of electronic technology solutions that will assist in

preparation for the implementation of Electronic Benefit Transfer (EBT). The SA Vendor Unit

is also in the process of expanding the peer groups by geographic setting (North, Central, and

South New Jersey), which will assist in regulating prices and overall cost containment.


6-6

6.4 Program Integrity

6.4.1 Management Information Systems

To improve and maintain program integrity from an MIS overview, the selection of a replacement

electronic data processing system for New Jersey WIC will encompass a conversion from a

distributed client-server database environment to a centralized database environment. This will

minimize any application and database anomalies that could affect database integrity that will

enhance program integrity.

6.4.2 Compliance Buy Investigations

Food Delivery Services shall continue to utilize SA vendor staff to conduct Compliance Buy

investigations and Routine Monitoring.

6.4.3 Social Media – Program Integrity

Food Delivery Services The SA staff will conduct periodic reviews of EBay, Craigslist and other

social media websites to help identify and resolve allegations of WIC participant and retail

vendor fraud.

6.4.4 Local Agency Monitoring and Evaluation

The State WIC Agency (SA) onsite team (Food Delivery, Nutrition Services, and MIS staff) conducts

bi-annual monitoring and evaluations of 50 % of seventeen local WIC agencies per year. After the

local agency review, the SA onsite team submits an onsite report that includes corrective action plans

for the local agency to review and respond.

It is anticipated that the local WIC agencies that will be monitored in FY 2015 are North Hudson,

Jersey City, Chidlren’s Home Society of Mercer, VNA, Ocean, St. Joseph’s, Passaic, Plainfield, and

NORWESCAP.


7-1

7.0 APPENDICES

7.1 Organizational Charts

7.1.1 Department of Health

7.1.2 Division of Family Health Services

7.1.3 WIC Services


8-1

7.1.1 Department of Health Organizational Chart

Last Modified 03/24/14


8-2

7.1.2 Division of Family Health Services Organizational Chart



8-3

7.1.3 WIC Services Organizational Chart



8-4

8.0 WIC Clinic Sites by County

01 ATLANTIC WIC PROGRAM 1301 BACHARACH BLVD 1

ST FLOOR, CITY HALL

ATLANTIC CITY, NJ 08401 (609) 347-5656 Coordinator: Tamika Trotman

SITE CODE

NAME AND ADDRESS

DAYS/HOURS OF OPERATION

TELEPHONE NUMBER

01 Admin 300 Philadelphia Ave, Egg Harbor City, 08215

3 days a week

04 Admin One-Stop Career Center 2 South Main Street, second floor Pleasantville, NJ 08232

Monday – Thursday: 8:30 – 4:00

(609) 272-0854/9659 Fax: 609-347-5359

05 Main Admin

Atlantic City WIC Program 1301 Bacharach Blvd Atlantic City, NJ 08401

Monday & Friday: 7:30 – 4:00 Tuesday, Wednesday & Thursday: 8:30 – 4:00

Fax: 609-272-9051

03 (not in use

09

11 (not in use

12 (not in use

07 (not in use)

08 (not in use

10 (not in use

44 (not in use 06 Closed (609) 492-1212


8-5

03 BURLINGTON COUNTY WIC PROGRAM 15 PIONEER BLVD WESTAMPTON, NJ 08060 (609) 267-7004 Coordinator: Dr. Deepti Das

SITE

CODE

NAME AND ADDRESS DAYS/HOURS OF OPERATION TELEPHONE

NUMBER

01 Main Admin

Burlington County Health Dept. 15 Pioneer Blvd., Westampton, NJ 08060

Monday – Friday: 8:00 – 5:00 1st & 3

rd Tuesday: 8:00 – 8:00

2nd

and 4th Monday: 8:00 – 8:00

(609) 267-4304 Fax: 609-518-7156

04 Browns Mills, Nesbitt Recreation Center Anderson Lane Pemberton, NJ 08068

1st & 3

rd Monday: 9:00 – 4:00

06 Central Baptist Church 5

th & Maple Avenue

Palmyra, NJ 08065

1st Thursday: 12:30 – 3:30

08 1st United Methodist Church

Camden & Pleasant Valley Moorestown, NJ 08057

2nd

Thursday: 9:00 – 4:00

09 Medford Farms Firehouse Rt. 206 Tabernacle, NJ 08088

2nd

Wednesday: 12:30 – 3:30

10 Shiloh Baptist Church 104 ½ Elizabeth Street Bordentown, NJ 08505

4th Wednesday: 9:00 – 12:30

13 JFK Center 429 JFK Way Willingboro, NJ 08046

3rd

Wednesday: 9:00 – 4:00

14 American Legion 212 American Legion Drive Riverside, NJ 08075

1st Thursday: 9:00 – 4:00

16 Heureka Center 11 Dunbar Homes at Belmont Street Burlington, NJ 08016

2nd

Tuesday: 9:00 – 12:30

19 McGuire AFB Chapel 2 Annex, Bldg. #3827 Falcons Ct. North MAFB, NJ 08641

1st Wednesday: 9:00 – 12:30

3rd Thursday: 9:00 – 4:00 (5905 Recreation Center,

Newport & Doughboy Loop, Ft. Dix)

20 Beverly Housing Authority 100 Magnolia Street Beverly, NJ 08010

Fourth Thursday: (January, April, July, October) 9:00 – 4:00PM

03 (combined with site 09)

12 (not in use)

22 (not in use)

70 (not in use)


8-6

05 TRI-COUNTY/GATEWAY COMMUNITY ACTION PARTNERSHIP 10 WASHINGTON STREET BRIDGETON, NJ 08302 (856) 451-5600 (office) (856 453-9478 ( fax) Coordinator: Dr. Jaya Velpuri

SITE CODE

NAME AND ADDRESS

DAYS/HOURS OF OPERATION TELEPHONE NUMBER

01 Main Admin

Bridgeton WIC Office 10 Washington Street Bridgeton, NJ 08302

Monday – Friday: 8:00 – 4:30 1st & 3rd Wednesday: 8:00 – 6:30

(856) 451-5600 Ext. 6732 Fax: 856-453-9478

02

Teen Center: Bridgeton High School 111 West Avenue Bridgeton, NJ 08302

Closed (856) 455-8030

05* see detail at bottom

Millville WIC 530 North High St Millville, NJ 08332

Monday, Thursday, Friday: 8:30 – 4:30 1

st Thursday 9:30 – 6:30

(856) 327-6868 Fax- 856-293-4107

08 van Countryside Village Parsonage Road Seabrook, NJ 08302

3rd

Tuesday: 9:00 – 3:00

(609) 501-8370

13 Admin

Vineland WIC Office 610 E. Montrose Street Vineland, NJ 08360

Monday – Friday: 8:00 – 4:30 1

st Tuesday: 8:00 – 6:30

(856) 691-1155 (856) 691-2410 (fax)

43 Admin

Salem WIC Office 14 New Market Street Salem, NJ 08079

Monday – Thursday: 8:00 – 4:00 1

st Monday: 9:00 – 5:00

FAX: 856-935-1817

40 van Penns Grove IGA 2nd

& 4th Friday: 8:00 – 3:30

41 Salem Hospital Health Start 310 Woodstown Rd. Salem, NJ 08079

closed

61 Admin

Cape May WIC Crest Haven Complex 6 Moore Rd. Cape May Court House, NJ 08210

Monday – Thursday 8:00 – 4:30 Friday 7-3:00

(609) 465-1224 Fax: 609-465-6836

62 van Ocean City( Not going) Tabernacle Baptist Church

closed (609) 501-8370

63 Wildwood WIC( temporarily operating from site 61)

closed (609) 522-0231

64 North Cape May Villa Lower Township Municipal Court North Cape May, NJ 08204

1st, 2

nd & 3

rd Thursday: 8:30 –

2:00 (609) 898-8899

17 Admin

1111 South Blackhorse Pike Unit 7, Blackwood Plaza –Aug 1, 2014Blackwood WIC Office Blackwood, NJ 08012

Monday-Thursday: 8:00 – 4:30 (856) 374-6085 Fax: 856-374-6083

04 Admin

Closed

30 Admin

Mt Emphraim WIC Office Mt. Ephraim Plaza, Suite 411 2600 Mt. Ephraim Ave. Camden, NJ 08104

Monday, Tuesday, Thursday & Friday: 8:00 – 4:30 Wednesday: 8:00 – 6:30

856-225-5050 856-225-5051 Fax: 856-225-8405

30-01 ATCO WIC clinic 302 White Horse Pike Unit B-8, Atco, NJ 08004

Wed 8:30-4:30- Opening soon 2014

*05 van sites: Oak View Apts., 1701 E. Broad Street, Millville Delsea Garden Apts., 2213 S. 2

nd Street, Millville

Millville Senior High School, 200 N. Wade Blvd., Millville


8-7

06 EAST ORANGE WIC PROGRAM 185 CENTRAL AVENUE, SUITES 505 & 507.* EAST ORANGE, NJ 07018 (973) 395-8960 Coordinator: Monica Blissett

SITE

CODE

NAME AND ADDRESS DAYS/HOURS OF

OPERATION TELEPHONE NUMBER

02 Main Admin

East Orange WIC 185 Central Avenue, Suites 505 & 507, East Orange, NJ 07018

Monday – Friday: 8:30 – 4:30 Thursdays: 8:30 – 7:00 PM

(973) 395-8960 Fax: 973-676-1360

16 Admin Belleville WIC Office 152 Washington Avenue Belleville, NJ 07109

Tuesday, Wednesday & Thursday: 9:00 – 1:00

(973) 450-3395 Fax: 973-450-4550

11 Montclair WIC Clinic ( within United Way) 60 S. Fullerton Avenue Montclair, NJ 07042

Monday & Friday: 8:30 – 4:30

(973) 509-6501 (973) 509-6502

06 (not in use)

08 (not in use)

09 (not in use)

17 (not in use)

29 (not in use) 07 - CLOSED March 2010- merged

caseload with 0206

70 (not in use)


8-8

07 GLOUCESTER COUNTY WIC PROGRAM 204 EAST HOLLY AVE. SEWELL, NJ 08080 (856) 218-4116 Coordinator: Kathleen Mahmoud

SITE CODE

NAME AND ADDRESS


TELEPHONE NUMBER

04 Main Admin

Gloucester County WIC Gloucester Co. Dept of Health & Senior Services 204 East Holly Ave. Sewell, NJ 08080

Monday – Friday: 8:00 – 4:00 (office hours) Tuesday & and every other Thursday: 8:00 – 4:00 Certs only Extended hours every other Tuesday: until 6:00 PM Friday NE classes – 8-3

(856) 218-4116 Fax: 856-218-4117

03 Williamstown-Monroe Township 125 Virginia Avenue Williamstown, NJ 08094

Monday: 8:00 – 4:00 NE ( 8 am and 1 PM)

(856) 728-9800

01 Paulsboro WIC Office Gloucester County Health Dept 1000 Delaware Street Paulsboro, NJ 08066

Monday- Friday 8:30 – 4:30 Extended hours every other Wednesday: until 6:00

(856) 423-5849

05 (not in use)


8-9

09 JERSEY CITY WIC PROGRAM DEPARTMENT OF HEALTH AND HUMAN SERVICES 384 Martin Luther King ( Temporary location) JERSEY CITY, NJ 07305 (201) 547-5682 (see other phone numbers below) Coordinator: Deborah M. Murray

SITE

CODE


OPERATION TELEPHONE NUMBER

13 Main Admin

Jersey City WIC Program Dept. of Health & Human Services 384 Martin Luther King Jersey City, NJ 07305

Monday – Friday: 7:00 – 4:30

201-547-5682 201-547-4687 201—547-4697 Fax: 201-547-5971

06 Horizon Health Center (Health Start) 706-714 Bergen Avenue Jersey City, NJ 07306

Monday: 8:30 – 11:00

(201) 451-6300

15 North Hudson Community Action Corp. of Jersey City (Health Start) 324 Palisades Avenue Jersey City, NJ 07307

Tuesday: 8:30 – 11:00 (201) 459-8888

16 Bayonne Hospital (Health Start) 29 East 29

th Street

Bayonne, NJ 07002

Wednesday and Thursday: 8:30 – 11:00

(201) 858-5000 Ext. 5356

14 Not going here

Metropolitan Family Health Network (Health Start) 935 Garfield Avenue Jersey City, NJ 07304

Closed (201) 946-6400


8-10

10 VNA OF CENTRAL JERSEY WIC PROGRAM 888 MAIN STREET BELFORD, NJ 07718 (732) 471-9301 Coordinator: Robin McRoberts

SITE CODE

NAME AND ADDRESS


TELEPHONE NUMBER

02 Admin How Lane Health Center 123 How Lane New Brunswick, NJ 08901

Mon – Fri: 8:30 – 4:30 2

nd , 3

rd & 4

th Saturday: 8:30 – 4:30

(732) 249-3513 Staff: (732) 249-3768 Fax: 732-249-3793

05 First Presbyterian Church 177 Gatzmer Avenue Jamesburg, NJ 08831

4th Tuesday: 8:30 – 2:00 (908) 902-3611

07 Edison Township Health Dept. 80 Idlewild Rd Edison, NJ 08817

2nd

Tuesday & 4th Thursday:

8:30 – 4:00 (732) 248-7285

09 Somerset Community Action Program 900 Hamilton Somerset, NJ 08875

1st Monday: 8:30 – 12:30 (732) 8282956

03 Admin Perth Amboy VNA Central Jersey Ambulatory Care Dept. (Health Start) 313 State Street, Suite 704 Perth Amboy, NJ 08861

Tuesday, Wednesday, Thursday & Friday: 8:30 – 4:30 1

st Saturday of the month:

8:30 – 4:30

(732) 376-1138 (staff) (732) 376-1188 (staff) Fax: 732-376-1193

15 Iglesia Penticostal el Tabernaculo 104 Union Street Carteret, NJ 07708

1st & 3

rd Thursday: 8:30 – 4:30

16 St. Mary’s Church/St. Pat’s Hall Church & Stevens Street South Amboy, 08879

2nd

Thursday: 8:30 – 4:30

19 Woodbridge/St. James Food Pantry Hwy 35/Main Street Woodbridge, NJ 07095

2nd

& 4th Friday: 8:30 – 4:30

08 Main Admin

Hartshorne Health Center 888 Main Street Belford, NJ 07718

Monday – Friday (office) 2

nd Monday: 8:30 – 6:30

4th Monday: 8:30 – 4:30

(732) 471-9301 (732) 471-9302 Fax: 732-471-9303

01 Trinity Church 503 Asbury Ave, A Asbury Park, NJ 07712

Monday & Tuesday: 8:30 – 4:30

04 Keyport Health Center, Health Start 35 Broad Street Keyport, NJ 07735

1st & 2

nd Monday: 8:30 – 4:30

(732) 888-4146

06 St. Rose of Lima Church 12 Throckmorton Street Freehold, NJ 07728

Wednesday: 8:30 – 4:30 1

st Wed until 7:00

1st & 3

rd Certs (NE in evening)

2nd

& 4th NE/check pick-up

1st Thursday of month (6/1)

10 Red Bank Health Center 176 Riverside Drive Red Bank, NJ 07701

Wednesday: 8:30 – 4:30 4

th Wednesday until 7:00

1st & 3

rd – NE/check pick-up

2nd

& 4th – certs (NE in evening)

12 Trinity AME Church 66 Liberty Street Long Branch, NJ 07740

2nd

, 3rd

& 4th Thursday & Friday:

8:30 – 4:30 Thursdays NE/check pick-up Fridays certs

(732) 222-8436

14 First Presbyterian Church 9

th Avenue and E Street

Belmar, NJ 07719

1st Friday: 8:30 – 4:30 (732) 681-3108


8-11

SITE CODE

NAME AND ADDRESS


TELEPHONE NUMBER

72 Keansburg Senior Center 100 Main Street Keansburg, NJ

closed

11 (not in use)

17 (formerly Piscataway Fire Co.)

18 (not in use)

70 (not in use)

71 (not in use)

73 (not in use)

74

75 (not in use)

76 (not in use)


8-12

11 NEWARK WIC PROGRAM DEPARTMENT OF Child and Family Well-Being 110 WILLIAM STREET NEWARK, NJ 07102 (973) 733-7628 Coordinator: Vacant

SITE CODE

NAME AND ADDRESS


TELEPHONE NUMBER

15 Main Admin

Newark WIC Department of Child and Family Well-Being 110 William Street Newark, NJ 07102

Monday, Tuesday & Wed Friday: 8:30 – 4:30 Thursday: 8:30 – 6:30 Saturday: 9:00 – 2:00 – 2

nd

and 4th Sat.

(973) 733-7628 Fax: 973-733-7629

01 Newark Preschool/Alberta Bay 300 Chancellor Avenue Newark, NJ 07112

closed

29 NCHC Dayton Street Center (Health Start) 101 Ludlow Street Newark, NJ 07114

1st and 3

rd Wednesday:

10:00 – 3:00- Closing 2014 Closing 2014

(973) 565-0355

31 NCHC (Health Start) 741 Broadway Newark, NJ 07104

closed (973) 483-1300

18 Admin

Newark Beth Israel Medical Center (Health Start) 166 Lyons Avenue Newark, NJ 07112

Monday – Friday: 8:30 – 4:30 (973) 733-5157 (973) 733-5158 Fax: 973-733-5157

20 Admin

Irvington Municipal Building 1 Civic Square Irvington, NJ 07111

Monday – Friday: 8:30 – 4:30 (973) 399-6732 Fax: 973-416-5676

Columbus Hospital Admin 495 North 13

th Street

Newark, NJ 07107

closed 973) 973-497-5618 Fax: 973-497-5619 online 7/2009

03

26 admin St. James Hospital Family Service Heath Start 155 Jefferson Street , 3

rd Floor

Newark, NJ 07102

Monday and Friday : 8:30 – 4:30

(973) 465-2828 Ext. 1704/1705 Fax: 973-344-0641

02 (not in use) 06 Not in use Closed – May 8, 2008

07 (not in use)

08 (not in use – formerly Club del Barrio)

80 van sites?? Locations Closed Closing 4/30/09 (

09 closed (not in use – formerly Irvington Ped.)


8-13

12 NORTH HUDSON COMMUNITY ACTION CORPORATION (NHCAC) WIC PROGRAM 407 39

TH STREET, UNION CITY, NJ

UNION CITY, NJ 07087 (201) 866-4700 Coordinator: Karen Lazarowitz

SITE

CODE


OPERATION TELEPHONE

NUMBER

01 Main Admin

NHCAC WIC 407 39

th Street,

Union City, NJ 07087

Monday Wed, Thurs and Friday: 8:30 – 4:00 Tuesday: 8:30 – 6:45 PM

(201) 866-4700 Fax: 201-866-2495

06 Closed Meadowlands Hospital 55 Meadowlands Parkway Secaucus, NJ 07094

closed

Kearny Health Department 645 Kearny Avenue Kearny, NJ 07032

1st Tuesday and 2

nd Monday

and 4th Monday: 9:30-3:00 pm

(201) 997-0600

07 (mobile)

Kearny 3rd

Monday and 3rd

Friday 9:30- 3:00PM

08 Harrison Health Department Annex 318 Harrison Avenue Harrison, NJ 07029

2nd

& 3rd

Thursday and 4th

Wednesday 9:30 – 3:00 (973) 268-2464

09 NHCAC Community Health Center at Hoboken 124 Grand Street Hoboken, NJ 07030

closed (201) 863-7180 (201) 795-9521

71 Palisades General Hospital Maternity Floor 7600 River Road North Bergen, NJ 07047

closed

85 Mobile site

NHCAC at Mesivta Sanz School 3400 New York Avenue Union City, NJ 07087

2nd

Wednesday, March, June, Sept, Dec 9:30-3:30

(201) 424-3240

79 NHCAC at Union City CLOSED

CLOSED

73 (not in use)

74 (not in use)

75 (not in use)

82 (not in use)

83 (not in use)

84 (not in use)

86 (not in use)

87 (not in use)

88 (not in use)

89 (not in use)


8-14

13 NORWESCAP WIC PROGRAM 350 MARSHALL STREET PHILLIPSBURG, NJ 08865 (908) 454-1210 (800) 527-0125 Coordinator: Nancy Quinn

SITE

CODE


OPERATION TELEPHONE

NUMBER

07 Admin

NORWESCAP WIC Program 111 Ryerson Avenue Newton, NJ 07860 Summer 2014

Mon Tues and Wed. – 8:30- 4:30 Tuesday 10-7

(973) 579-5155 Fax: 973-579-5655

05 20 Main Admin

NORWESCAP WIC Program 350 Marshall Street Phillipsburg, NJ 08865 (Warren Co.)


nd and 4

th Thursday:

8:00 – 7:00

(908) 454-1210 Fax: 908-454-5731

08 Trinity Methodist Church 211 Main Street Hackettstown, NJ 07840 (Warren Co.)

1st,

3rd

& 5th Wednesday:

9:30 – 3:30 (908) 852-3020 Ext. 237

10 Flemington United Methodist Church 116 Main Street Flemington, NJ 08822

2nd

& 4th Wednesday:

9:30 – 3:30 (908) 782-1070

17 First Presbyterian Church 41 East Church Street Washington, NJ 07882 (Warren Co.)

1st & 3

rd Friday: 9:15 – 3:30 (908) 689-2547

22 Admin

NORWESCAP WIC Program People Care Center 120 Finderne Avenue, Suite 230 Bridgewater, NJ 08807 (Somerset Co.)


st & 3

rd Tuesday: 8:30 – 7:00

(908) 685-8282 Fax: 908-704-9382

26 Watchung Avenue Presbyterian Church 170 Watchung Avenue North Plainfield, NJ 07060 (Somerset Co.)

Tuesdays: 9:00 – 3:00 (908) 755-2781

01 (not in use)

02 (not in use)

04 (not in use)

06 Closed

11 Closed

24 closed

Closed 1/27/2009 (732) 356-1372


8-15

14 PLAINFIELD WIC PROGRAM 510 WATCHUNG AVENUE PLAINFIELD, NJ 07060 (908) 753-3397 Coordinator: Prema Achari

SITE CODE

NAME AND ADDRESS


TELEPHONE NUMBER

01 Main Admin

Plainfield WIC Program 510 Watchung Avenue Plainfield, NJ 07060

Monday – Friday: 9:00 – 5:00 Tuesday: 9:00 – 6:30PM

(908) 753-3397 Fax: 908-753-3640

02 (not in use)


8-16

15 ST. JOSEPH WIC PROGRAM 185 6

th Avenue

PATERSON, NJ 07524 (973) 754-4575 Coordinator: Dorothy Monica

SITE CODE

NAME AND ADDRESS


TELEPHONE NUMBER

01 Main Admin

St. Joseph WIC Program 185 6

th Avenue

Paterson, NJ 07524 (Passaic Co.)

Mon & Fri: 8:00 – 4:30 Tues, Wed & Thursday: 8:00 – 6:00

(973) 754-4575 Fax: 973-754-4542

07 Market Street Clinic 166 Market Street Paterson, NJ 07505 (Passaic Co.)

Closed clients referred to main site. As of June 1, 2012

12 Hackensack Department of Health 215 State Street Hackensack, NJ 07601 (Bergen Co.)

1st & 3

rd Monday & every

Thursday: 9:00 – 3:00 (201) 646-3965

14 St. Mark’s Episcopal Church 118 Chadwick Road Teaneck, NJ 07666 (Bergen Co.)

1st, 2

nd, 3

rd & 4

th Monday:

9:00 – 2:30

15 Center for Family Resources 12 Morris Rd. Ringwood, NJ 07456 (Passaic Co)

1st Thursday 9:00 - 3:30 As of June 1, 2008

(973) 962- 0055

16 Pompton Lakes Health Department 25 Lenox Avenue Pompton Lakes,NJ 07442(Passaic Co.)

4th Monday: 9:00 – 3:00 (973) 835-0143

Ext. 222

17 First Presbyterian Church 457 Division Avenue Carlstadt, NJ 07072 (Bergen Co.)

1st Wednesday: 9:00 – 3:00 (201) 438-5526

18 St. Paul’s Episcopal Church 113 Engle Street Englewood, NJ 07632 (Bergen Co.)1/2012

2nd

& 4th Tuesday,

2nd

& 3rd

Thursday: 9:00 – 3:00

(Call main number)

19 Cliffside Park Head Start 263 Lafayette Ave. Cliffside Park, NJ 1/2012

1st and 2

nd Friday: 9:00 –

3:00 Call main number

20 Wayne Health Department 475 Valley Road Wayne, NJ 07470 (Passaic Co.)

3rd

Tuesday: 9:00 – 3:00 (201) 387-4058

21 Bergenfield Department of Health 198 N. Washington Avenue Bergenfield, NJ 07621 (Bergen Co.)

2nd

& 4th Monday: 9:00 – 3:30 (201) 387-4058

22 Red Cross 74 Godwin Avenue Ridgewood, NJ 07450 (Bergen Co.)

3rd

& 4th Friday: 9:00 – 3:30 (201) 652-3210

23 St. Margaret Church 6 Sussex Ave. Morristown, NJ 07960 (Morris Co.)1/2012

1st, 2

nd, 3

rd & 4

th Friday:

9:00 – 3:00

27 Boonton United Methodist Church 626 Lathrop Avenue Boonton, NJ 07005 10/2011 (Morris Co.)

3rd

Wednesday: 9:00 – 3:00 (201) 299-7745

29 Dover Head Start 18 Thompson Street Dover, NJ 07801 (Morris Co.)

Wednesday: 9:00 – 3:30 (973) 989-9052

30

Clifton Health Department Boys and Girl's Club of Clifton, Inc; 181 Colfax Ave, Clifton, NJ New location Clifton, NJ 07012 (Passaic Co.)

3rd

Tuesday: 9:00 – 3:30 (973) 470-5778


8-17

SITE CODE

NAME AND ADDRESS


TELEPHONE NUMBER

09

St. Paul’s Community Dev. Corp Greater Bergen Community Action 500 East 35

th Street

Paterson, NJ 07504 (Passaic Co.)

(973) 278-7900

11

Garfield Head Start BCCAP Weatherization Training Center, 541 Midland Ave, Garfield, NJ 07026 New location

2nd

Wed. 9-3 2

nd Tuesday 9-3

4th Thursday 9-3

Call main number for Appointment


8-18

17 CHILDREN’S HOME SOCIETY MERCER WIC PROGRAM (CHS MERCER WIC)

416 BELLEVUE AVENUE TRENTON, NJ 08618 (609) 498-7755 Coordinator: Kelly Mannherz

SITE CODE

NAME AND ADDRESS


01 (26) Main Admin

CHS Mercer WIC 416 Bellevue Avenue Trenton, NJ 08618

Clinic hours: Monday: 8:30-5:00 Tuesday: 8:30 – 5:00 Wednesday: 8:30-6:00 Thursday: 8:30-6:00 Office: Friday: 8:30 – 4:00

(609) 498-7755 Central Call number for all sites. Fax: 609-434-0040

04 Hamilton Health Department 2090 Greenwood Avenue Hamilton, NJ 08609

Most Fridays 1st, 3

rd & 4th Friday:

9:00 – 3:30 by appointment

22 Princeton Twp. Municipal Building WIC 400 Witherspoon Street Princeton, NJ 08542

3rd

Friday: 9:00 – 3:30 By appointment closing June 2014

25 Ewing Clinic Ewing Neighborhood Center 320 Hollowbrook Drive Ewing, NJ 08638 Closing

CLOSED

11 Henry J. Austing FQHC 321 North Warren Street, Trenton, New Jersey 08618

Friday 8:30 -4:00PM

19

First United Methodist Church

187 Stockton St, PO 137

Hightstown, NJ 08520

2nd

and 4th Friday of the month

9:00-3:30PM, by apppointment Clients should call main site

02 (30)


8-19

18 RUTGERS NJ MEDICAL SCHOOL WIC PROGRAM STANLEY BERGEN BUILDING, RM GA-06

65 BERGEN STREET NEWARK, NJ 07107 (973) 972-3416 Coordinator: Valeria Jacob-Andrews

SITE CODE

NAME AND ADDRESS


03 Main Admin

Rutgers NJ Medical School WIC Program Stanley Bergen Bldg, Room GA-06 65 Bergen Street Newark, NJ 07107-1709

Monday, Tuesday, Thursday & Friday: 8:30 – 4:30 Wed. 8:30 – 6:30PM 1

st Wednesday: 3:30 – 6:30

(973) 972-3416 (973) 972-3417 Fax: 973-972-8977

05

Ivy Hill Apartments Senior Citizen Center 230 Mt. Vernon Place Newark, NJ 07106

Wednesdays: 7:15 AM – 2:15PM

(973) 416-8826

70

University Hospital Prenatal Clinic Ambulatory Care Center 140 Bergen Street, Newark, NJ 07101-1709

Monday: 9:45 – 2:15 Tuesday: 9:00 – 2:15

(973) 972-2726

71

University Hospital Maternity Unit F-Green 150 Bergen Street Newark, NJ 07101-1709

Monday and Tuesday: 9:45 am- 2:45 pm Friday: 9:30-2:30

(973) 972-5624

04 (not in use)

06 (not in use)

07 (not in use)


8-20

19 OCEAN COUNTY WIC PROGRAM OCEAN COUNTY DEPARTMENT OF HEALTH 175 SUNSET AVENUE, PO BOX 2191 TOMS RIVER, NJ 08755 (732) 341-9700 EXT. 7520 Coordinator: Meg-Ann McCarthy-Klein

SITE CODE

NAME AND ADDRESS


TELEPHONE NUMBER

06 Main Admin

Ocean County WIC Program Pleasant Plaza Unit 2 1333 Route 9 Toms River, NJ 08755


st, 2

nd & 4

th Monday:

8:00 – 8:30

(732) 341-9700 Ext. 7520 Fax: 732-286-3951

07 Brick Presbyterian Church 111 Drum Point Road Brick, NJ 08723

Tuesday: 8:00-5:00PM NE/Checks 2:00 – 3:00

(732) 691-7307 staff cell phone

09 Berkeley Head Start 264 First Avenue South Toms River, NJ 08758

Wednesday: 9:00 – 4:00 (AM certs/PM NE/checks)

(732) 691-7307 staff cell phone

14 Southern Ocean Resource Center 333 Haywood Avenue Manahawkin, NJ 08050

Monday-Thursday: 8:00AM –5:00 NE/Checks Monday: 8:30AM &Tueday : 2:00PM

15 Lighthouse Alliance Community Church

CLOSED July 2011 (732) 691-7307 staff cell phone

16 Ortley Beach First Aid Squad Rt. 35 at 6

th Avenue

Ortley Beach, NJ 08751

Closed (732) 691-7307 staff cell phone

72 Medical Center of Ocean County Closed July 2011

73 Southern Ocean County Hospital Health Start clinic Manahawkin, NJ 08050

Closed July 2011

74 Community Medical Center (prenatal) 301 Lakehurst Road, 3

rd Floor

Toms River, NJ 08753

Tuesday & Thursday: 8:00 – 12:00

(732) 818-3388

12 Admin Northern Ocean Co Board of Health 1771 Madison Ave Lakewood NJ 08701 Meg located at this site.

Monday –Friday 8:00 – 5:00 1

st & 3

rd Thursday:

5:00 – 7:00

(732) 370-0122 Fax: 732-886-0983

71 Ocean Health Initiatives (OHI) Federal Qualified Health Center 101 Second St. Lakewood NJ 08701

Monday to Fridays 9AM-4PM Thursdays 3 PM checks/NE

732) 691-7307 staff cell phone

17 Forked River Baptist Church CLOSED March 2010


8-21

20 PASSAIC WIC PROGRAM 333 PASSAIC STREET PASSAIC, NJ 07055 (973) 365-5620 Coordinator: Dana Hordyszynski

SITE CODE

NAME AND ADDRESS


01 Main Admin

Passaic WIC Program 333 Passaic Street Passaic, NJ 07055

Monday – Friday: 8:30 – 4:00 Saturdays ( 3/month) 8:00AM-12:00PM

(973) 365-5620/5619 Fax: 973-365-5622

02 The Senior Center 330 Passaic Street Passaic, NJ 07055

Closed

03 NHCAC 110 Main Avenue Passaic, NJ 07055

closed (973) 777-0256

05 Not in use

St. Mary’s Hospital – Health Start 211 Pennington Avenue Passaic, NJ 07055

closed (973) 470-3019


8-22

22 TRINITAS WIC PROGRAM 40 PARKER ROAD ELIZABETH, NJ 07208 (908) 994-5141 Coordinator: Anita Otokiti

SITE CODE

NAME AND ADDRESS


TELEPHONE NUMBER

01 Main Admin

Trinitas WIC Program 40 Parker Road Elizabeth, NJ 07208 As of March 1, 2012

Monday – Friday: 8:00 – 5:00 Door opens 8:30

(908) 994-5141 Fax:908-994-5513

02 Hillside Health Department Municipal Building Liberty Avenue & Hillside Avenue Hillside, NJ 07205

Closed July 2014

04 Union – UTCAO as of July 1 2410 Springfield Avenue Union, NJ 07083 or Vauxhall, NJ

Closed July 2014

05 Summit Health Department City Hall 512 Springfield ? Summit, NJ 07901

Closed July 2014

03 (not in use)

ffy final 2015 state strategic plan

Documents